Active NPI
Vishaal Prabhu, MD
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 310300
- Practice address
- 1000 10TH Ave RM Ge-01
New York, NY 10019-1147 - Phone
- (212) 523-8158
- NPI assigned
- Mar 20, 2018
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 310300 | NY | Primary |
Addresses
Primary practice location
1000 10TH Ave RM Ge-01
New York, NY 10019-1147
Mailing address
1000 10TH Ave RM Ge-01
New York, NY 10019-1147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Rochester School of Medicine and Dentistry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Rwjbh Emergency Medicine Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
| Nes Georgia Inc | Emergency Medicine | Current | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Elizabeth, NJ
- NPI 1043616675
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Emergency Medicine Physician
- Newark, NJ
- NPI 1912411331
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1134129802
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1770583999
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1790785913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1194229518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 10TH AVE RM GE-01",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 10TH AVE RM GE-01",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191147",
"telephone_number": "212-523-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRABHU",
"first_name": "VISHAAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-20",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "310300",
"primary": true
}
],
"identifiers": [],
"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 Jun 3, 2021; 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.