Individual provider Active NPI

Vicken N Pamoukian, MD

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1174587760
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
216108 Issued in NY
Practice address
166 E 88TH St FL 1
New York, NY 10128-2255
Phone
(212) 433-4421
Fax
(718) 744-2742
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 216108 NY Primary

Addresses

Primary practice location

166 E 88TH St FL 1
New York, NY 10128-2255

Mailing address

653 Vincent Ave
Bronx, NY 10465-1720
Phone (212) 433-4421

Other practice location 1

130 E 77th St
13TH FL
New York, NY 10075-1851
Phone (212) 434-3420

Other practice location 2

3 E 68th St
New York, NY 10065-4901
Phone (212) 433-4421

Other practice location 3

400 S Oyster Bay Rd Ste 205
Hicksville, NY 11801-3500
Phone (212) 433-4421

Other practice location 4

2351 Bedford Ave
Bellmore, NY 11710-3627
Phone (212) 433-4421

Other practice location 5

901 Stewart Ave Ste 275
Garden City, NY 11530-4889
Phone (212) 433-4421

Other identifiers 2

IdentifierTypeStateIssuer
02443281MedicaidNY
216108OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040416001230 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 3577558733 Reassigns benefits to 6 organizations
I20240520001050 NJ Practitioner - Vascular Surgery 3577558733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

166 E 88TH St
FL 1
New York, NY 10128-2255
Phone (212) 433-4421

653 Vincent Ave
Bronx, NY 10465-1720

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Merit-based Incentive Payment System (MIPS)

Final score
21.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion23
Varicose vein removal1-10
Leg revascularization (restoring blood flow)52
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216108NYMDVascular Surgery Physician

Practice roles (13 of 17)

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 20, 2015 Accepting new patients
Tristate Vascular Care PC Vascular Surgery CurrentSince Dec 16, 2021 Accepting new patients
Paul Jarrod Frank MD PC CurrentSince May 1, 2025 Accepting new patients
Heritage Wound Care LLC Vascular Surgery CurrentSince Jul 21, 2025 Accepting new patients
Visa Vascular Care PC Vascular Surgery CurrentSince Mar 31, 2022 Accepting new patients
Mihail Medvedovsky Physician PC CurrentSince Jun 9, 2011 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 20, 2015 Accepting new patients
Pear Vascular Care PC Vascular Surgery CurrentSince Aug 27, 2022 Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Past Accepting new patients
Park Lenox Surgical, PC Vascular Surgery Past Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC PastSince Jul 15, 2010 Accepting new patients
Broadway Cardiopulmonary, P.C. Past Accepting new patients
LHHN Medical, P.C. Past Accepting new patients

Locations

325 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (973) 783-2800

163 Madison Ave
Ste 220
Morristown, NJ 07960
Phone (908) 255-6200

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

185 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-0888

3825 Astoria Blvd
Astoria, NY 11103
Phone (718) 274-5300

2351 Bedford Ave
Bellmore, NY 11710
Phone (516) 781-5070

7803 4th Ave
Brooklyn, NY 11209
Phone (718) 491-4949

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

901 Stewart Ave
Ste 275
Garden City, NY 11530
Phone (516) 877-1518

400 S Oyster Bay Rd
Ste 205
Hicksville, NY 11801
Phone (516) 433-5396

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

3 E 68th St
New York, NY 10065
Phone (212) 288-2804

130 E 77th St
Fl 13
New York, NY 10075
Phone (212) 434-3285

1000 10th Ave
#5G80
New York, NY 10019
Phone (212) 523-6720

110 E 59th St
New York, NY 10022
Phone (212) 583-2800

300 Community Dr
Plandome, NY 11030

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: vpamoukian69213@northwell.direct-ci.com
  • Direct secure messaging: vpamoukian618585@nyumc.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174587760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 VINCENT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651720",
            "telephone_number": "212-433-4421",
            "fax_number": "718-744-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 88TH ST FL 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282255",
            "telephone_number": "212-433-4421",
            "fax_number": "718-744-2742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 E 77th St",
            "address_2": "13TH FL",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751851",
            "country_code": "US",
            "telephone_number": "212-434-3420",
            "fax_number": "212-434-3410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 E 68th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654901",
            "country_code": "US",
            "telephone_number": "212-433-4421",
            "fax_number": "718-744-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Oyster Bay Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013500",
            "country_code": "US",
            "telephone_number": "212-433-4421",
            "fax_number": "718-744-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Bedford Ave",
            "address_purpose": "LOCATION",
            "city": "Bellmore",
            "state": "NY",
            "postal_code": "117103627",
            "country_code": "US",
            "telephone_number": "212-433-4421",
            "fax_number": "718-744-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Stewart Ave Ste 275",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304889",
            "country_code": "US",
            "telephone_number": "212-433-4421",
            "fax_number": "718-744-2742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMOUKIAN",
        "first_name": "VICKEN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "216108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02443281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "216108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.