Individual provider Active NPI

Gaddy Abraham Haymov, MD

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1336132000
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
208605 Issued in NY
Practice address
803 McLean Ave
Yonkers, NY 10704-3847
Phone
(914) 776-6483
Fax
(914) 776-0855
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 208605 NY
Family Medicine Physician 207Q00000X 208605 NY Primary

Addresses

Primary practice location

803 McLean Ave
Yonkers, NY 10704-3847

Mailing address

803 McLean Ave
Yonkers, NY 10704-3847
Phone (914) 776-6483

Other identifiers 1

IdentifierTypeStateIssuer
01954723MedicaidNY

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
I20080114000738 NY Practitioner - Internal Medicine 2668553892 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians
St Joseph'S Medical Practice PCGroup PAC ID 5597901868, 28 clinicians

Practice addresses (Care Compare)

661 N Main St
Spring Valley, NY 10977-2319
Phone (845) 354-1212

803 McLean Ave
Yonkers, NY 10704-3879
Phone (914) 776-6483

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • St Patrick's Home Nursing home, Bronx, NY, CCN 335011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208605NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Care Connect Medical P.C. Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
St Joseph'S Medical Practice PC Family Medicine CurrentSince Sep 2, 2025 Accepting new patients
Stephen E. Hirschberg MD and Gaddy a. Haymov MD PC CurrentSince Jun 1, 2007 Accepting new patients
St. Patrick'S Home for the Aged and Infirm Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3050 Corlear Ave
Ste 201
Bronx, NY 10463
Phone (718) 543-2700

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

661 N Main St
Spring Valley, NY 10977
Phone (845) 228-3350

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

803 McLean Ave
Yonkers, NY 10704
Phone (212) 570-9650

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJACA

Organizations & group practices 6

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 2

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1336132000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043847",
            "telephone_number": "914-776-6483",
            "fax_number": "914-776-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043847",
            "telephone_number": "914-776-6483",
            "fax_number": "914-776-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMOV",
        "first_name": "GADDY",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208605",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01954723",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.