Individual provider Active NPI

Neda K Vodenitcharova, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1285718296
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229938 Issued in NY
Practice address
1740 Eastchester Road
Calvary Hospital
Bronx, NY 10461
Phone
(718) 518-2000
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229938 NY Primary

Addresses

Primary practice location

1740 Eastchester Road
Calvary Hospital
Bronx, NY 10461

Mailing address

500 Central Park Ave
#333
Scarsdale, NY 10583-1041
Phone (914) 725-7174

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
I20050609001145 NY Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 1850334822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calvary Hospital IncGroup PAC ID 9133010382, 50 clinicians

Practice addresses (Care Compare)

1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2000

Hospital & facility affiliations

  • Calvary Home Health Agency and Hospice Care Hospice, Bronx, NY, CCN 331562

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229938NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvary Hospital Inc CurrentSince May 12, 2009 Accepting new patients
Calvary Hospital Inc CurrentSince May 12, 2009 Accepting new patients
Medical Research Associates,PC Internal Medicine Past Accepting new patients
Lincon Medical and Mental Center Past Accepting new patients

Locations

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

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.

Hospital & facility affiliations 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1285718296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CENTRAL PARK AVE",
            "address_2": "#333",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831041",
            "telephone_number": "914-725-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 EASTCHESTER ROAD",
            "address_2": "CALVARY HOSPITAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-518-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODENITCHAROVA",
        "first_name": "NEDA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.