Individual provider Active NPI

Anvi Kandarp Vora, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1184943433
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2758261 Issued in NY
Practice address
353 Lexington Ave RM 1500
New York, NY 10016-0941
Phone
(212) 546-9812
Fax
(212) 547-9812
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R-9097 IA
Psychiatry Physician 2084P0800X TRN14923 FL
Psychiatry Physician 2084P0800X 2758261 NY Primary

Addresses

Primary practice location

353 Lexington Ave RM 1500
New York, NY 10016-0941

Mailing address

353 Lexington Ave RM 1500
New York, NY 10016-0941
Phone (212) 547-9812

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825002163 NY Practitioner - Psychiatry 7113167248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

353 Lexington Ave
RM 1500
New York, NY 10016-0941
Phone (212) 547-9812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN14923FLMDPsychiatry Physician
R-9097IAMDPsychiatry Physician
2758261NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Psychiatry CurrentSince Jun 22, 2016 Accepting new patients
Montefiore Medical Center CurrentSince Jun 22, 2016 Accepting new patients
Synergy Psychiatry PLLC Psychiatry CurrentSince Jul 2, 2023 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4401 Bronx Blvd
Ofc 313
Bronx, NY 10470

353 Lexington Ave
Rm 1500
New York, NY 10016
Phone (203) 856-7339

Organizations & group practices 3

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1184943433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE RM 1500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "212-547-9812",
            "fax_number": "212-547-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 LEXINGTON AVE RM 1500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160941",
            "telephone_number": "212-546-9812",
            "fax_number": "212-547-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORA",
        "first_name": "ANVI",
        "middle_name": "KANDARP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "R-9097",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TRN14923",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "2758261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.