Individual provider Active NPI

Jude Fleming-Vaghjiani, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1104244532
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
287502 Issued in NY
Practice address
64 Bleecker St # 151
New York, NY 10012-2410
Phone
(917) 810-3965
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 287502 NY Primary

Addresses

Primary practice location

64 Bleecker St # 151
New York, NY 10012-2410

Mailing address

64 Bleecker St # 151
New York, NY 10012-2410
Phone (917) 810-3965

Other practice location 1

622 W 168th St
New York, NY 10032-3720
Phone (212) 305-6354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, SC, ME, AL, CT, GA, NM8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20170612002614 NY Practitioner - Internal Medicine 7517235724 Reassigns benefits to 4 organizations
I20230816003640 NC Practitioner - Internal Medicine 7517235724 Reassigns benefits to 1 organization
I20230823000320 SC Practitioner - Internal Medicine 7517235724
I20230912002275 ME Practitioner - Internal Medicine 7517235724 Reassigns benefits to 1 organization
I20240111003722 AL Practitioner - Internal Medicine 7517235724
I20241126002414 CT Practitioner - Internal Medicine 7517235724
I20241218004511 GA Practitioner - Internal Medicine 7517235724 Reassigns benefits to 1 organization
I20250530001262 NM Practitioner - Internal Medicine 7517235724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Galileo Medical Group, NM PC Internal Medicine CurrentSince Mar 28, 2025 Accepting new patients
Galileo Medical Group Al, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Galileo Medical Group NC PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Galileo Medical Group Ga, P.C. Internal Medicine CurrentSince Sep 8, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Galileo Medical Group Me, PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Galileo Medical PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

324 Commons Dr
Birmingham, AL 35209
Phone (334) 442-9805

4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960

436 Main St
Presque Isle, ME 04769
Phone (347) 933-6246

315 W 2nd St
Greenville, NC 27834
Phone (252) 507-0588

206 S Coronado Ave
Espanola, NM 87532
Phone (833) 807-8727

632 Broadway
New York, NY 10012
Phone (347) 762-7392

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

632 Broadway
Ph 12
New York, NY 10012
Phone (347) 294-3414

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

710 W 168th St
New York, NY 10032
Phone (212) 305-0217

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jude.fleming-vaghjiani@450368864321540.direct.elationemr.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/18871/brand/2/csg/1/fhir/r4
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1104244532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410",
            "telephone_number": "917-810-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410",
            "telephone_number": "917-810-3965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323720",
            "country_code": "US",
            "telephone_number": "212-305-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING-VAGHJIANI",
        "first_name": "JUDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "287502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.