Active NPI
Vicken N Pamoukian, MD
- Vascular Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 216108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02443281 | Medicaid | NY | |
| 216108 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular 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
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.28 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 70.94
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 23 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 52 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216108 | NY | MD | Vascular Surgery Physician |
Practice roles (13 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Tristate Vascular Care PC | Vascular Surgery | Current | Accepting new patients |
| Paul Jarrod Frank MD PC | Current | Accepting new patients | |
| Heritage Wound Care LLC | Vascular Surgery | Current | Accepting new patients |
| Visa Vascular Care PC | Vascular Surgery | Current | Accepting new patients |
| Mihail Medvedovsky Physician PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Pear Vascular Care PC | Vascular Surgery | Current | 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 | Past | 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
- vpamoukian69213@northwell.direct-ci.com
- 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.
-
- Vascular Surgery Physician
- New York, NY
- NPI 1447908298
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1942304001
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Specialist
- New York, NY
- NPI 1588842595
-
- Vascular Surgery Physician
- New York, NY
- NPI 1922716455
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Cardiovascular Disease Physician
- Long Island City, NY
- NPI 1871589200
-
- Interventional Cardiology Physician
- New York, NY
- NPI 1265452015
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
-
- Family Medicine Physician
- New York, NY
- NPI 1740222181
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.