Individual provider Active NPI

Vasiliki Payiati- Kondos

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1124474887
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097090 Issued in NY
Practice address
1360 York Ave
Apt#4K
New York, NY 10021-4030
Phone
(646) 610-0800
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 097090 NY Primary

Addresses

Primary practice location

1360 York Ave
Apt#4K
New York, NY 10021-4030

Mailing address

1360 York Ave
Apt#4K
New York, NY 10021-4030
Phone (646) 610-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403002481 NY Practitioner - Clinical Social Worker 1850720343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

156 William St
New York, NY 10038-2609
Phone (646) 962-6647

425 E 61St St
New York, NY 10065-8722
Phone (646) 962-7378

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097090NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jan 15, 2023 Accepting new patients
Young Adult Institute, Inc. CurrentSince Mar 3, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 15, 2023 Accepting new patients
Premier Healthcare, Inc. Past Accepting new patients
Premier Healthcare, Inc. PastSince Mar 3, 2020 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

156 William St
New York, NY 10038
Phone (646) 962-4679

Organizations & group practices 5

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1124474887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 YORK AVE",
            "address_2": "APT#4K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214030",
            "telephone_number": "646-610-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 YORK AVE",
            "address_2": "APT#4K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214030",
            "telephone_number": "646-610-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYIATI- KONDOS",
        "first_name": "VASILIKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.