Individual provider Active NPI

Michael Aram Jamgochian, M.D.

  • Surgery Physician
  • Suffern, NY
National Provider Identifier
1306226501
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
317705 Issued in NY
Practice address
257 Lafayette Ave Ste 200
Suffern, NY 10901-4837
Phone
(845) 369-8800
Fax
(845) 357-0086
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 317705 NY Primary

Addresses

Primary practice location

257 Lafayette Ave Ste 200
Suffern, NY 10901-4837

Mailing address

20 Grand St FL 3
Warwick, NY 10990-1035
Phone (845) 987-3906

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-7000

Other practice location 2

60 Dutch Hill Rd
Orangeburg, NY 10962-1723
Phone (845) 369-8800

Other practice location 3

10 Liberty Square Mall
Stony Point, NY 10980-2400
Phone (845) 942-0228

Other practice location 4

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 369-8800

Other practice location 5

70 Hatfield Ln Ste 101
Goshen, NY 10924-6735
Phone (845) 369-8800

Other practice location 6

2 Crosfield Ave Ste 318
West Nyack, NY 10994-2220
Phone (845) 369-8800

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
I20221209001895 NY Practitioner - General Surgery 3577932763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

257 Lafayette Ave
Suffern, NY 10901-4830
Phone 845353560025027

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317705NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Charles Hospital Corp CurrentSince Nov 1, 2022 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Surgery CurrentSince Nov 6, 2023 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients

Locations

70 Hatfield Ln
Ste 101
Goshen, NY 10924
Phone (845) 294-8888

60 Dutch Hill Rd
Orangeburg, NY 10962
Phone (845) 359-4770

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

10 Liberty Square Mall
Stony Point, NY 10980
Phone (845) 369-8800

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

257 Lafayette Ave
Ste 200
Suffern, NY 10901
Phone (845) 369-8800

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

2 Crosfield Ave
Ste 318
West Nyack, NY 10994
Phone (845) 353-5600

Networks

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

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.

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1306226501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST FL 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-987-3906",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LAFAYETTE AVE STE 200",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014837",
            "telephone_number": "845-369-8800",
            "fax_number": "845-357-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Dutch Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "NY",
            "postal_code": "109621723",
            "country_code": "US",
            "telephone_number": "845-369-8800",
            "fax_number": "845-357-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Liberty Square Mall",
            "address_purpose": "LOCATION",
            "city": "Stony Point",
            "state": "NY",
            "postal_code": "109802400",
            "country_code": "US",
            "telephone_number": "845-942-0228",
            "fax_number": "845-942-1519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Suffern",
            "state": "NY",
            "postal_code": "109014812",
            "country_code": "US",
            "telephone_number": "845-369-8800",
            "fax_number": "845-357-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Hatfield Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109246735",
            "country_code": "US",
            "telephone_number": "845-369-8800",
            "fax_number": "845-357-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Crosfield Ave Ste 318",
            "address_purpose": "LOCATION",
            "city": "West Nyack",
            "state": "NY",
            "postal_code": "109942220",
            "country_code": "US",
            "telephone_number": "845-369-8800",
            "fax_number": "845-357-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMGOCHIAN",
        "first_name": "MICHAEL",
        "middle_name": "ARAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "317705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.