{"npi":"1730189556","type":"NPI-1","status":"active","name":{"display":"Dr. Glenn Vitale D.P.M.","other":[],"first":"GLENN","last":"VITALE","middle":"CHARLES","credential":"D.P.M."},"specialty":{"primary_taxonomy":"213ES0103X","primary_taxonomy_description":"Foot & Ankle Surgery Podiatrist","slug":"foot-ankle-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":true,"state":"CT","license":"P00345"}]},"addresses":[{"purpose":"LOCATION","street_1":"385 MAIN ST","city":"WEST HAVEN","state":"CT","postal_code":"065164312","country_code":"US","street_2":"SUITE 10","phone":"2039338606","fax":"2039329571"},{"purpose":"MAILING","street_1":"90A BEACH AVE","city":"MILFORD","state":"CT","postal_code":"064608060","country_code":"US","phone":"2038773160"}],"license":{"state":"CT","number":"P00345"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"004060828","state":"CT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070419000622","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"CT","pac_id":"0446355432"}]},"enumeration_date":"2005-07-22","last_updated":"2009-11-20","_meta":{"source":"NPPES","snapshot_date":"2009-11-20","doc_url":"https://findmynpi.com/api"}}