Individual provider Active NPI

Vijay Chadderwala, D.O.

  • Family Medicine Physician
  • Sunnyside, NY
National Provider Identifier
1376993287
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
297124 Issued in NY
Practice address
4724 Greenpoint Ave
Sunnyside, NY 11104-1710
Phone
(516) 783-4600
NPI assigned
Jun 21, 2016
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 297124 NY Primary
Family Medicine Physician 207Q00000X 274346435 NY

Addresses

Primary practice location

4724 Greenpoint Ave
Sunnyside, NY 11104-1710

Mailing address

1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 783-4600

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
I20190715002571 NY Practitioner - Family Practice 5799020202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
May accept Medicare assignment
Group practices
East Point Medical PCGroup PAC ID 0749690741, 24 clinicians

Practice addresses (Care Compare)

16221 Jamaica Ave
Jamaica, NY 11432-4909
Phone (718) 571-9116

7116 Grand Ave
Maspeth, NY 11378-1823
Phone (718) 307-1577

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274346435NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chadderwala Medical PC Current Accepting new patients
East Point Medical PC Family Medicine CurrentSince Sep 13, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 31, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 31, 2019 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Good Health Psychiatric Services PC PastSince Oct 22, 2022 Accepting new patients
Summit Medical Group PA Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

26 Court St
Ste 808
Brooklyn, NY 11242
Phone (718) 307-1577

6219 5th Ave
Brooklyn, NY 11220
Phone (718) 307-1577

16221 Jamaica Ave
Jamaica, NY 11432
Phone (718) 571-9116

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Networks

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

Interoperability endpoints

  • Direct secure messaging: vijay.chadderwala.1@2983.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1376993287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ FL 13",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-783-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 GREENPOINT AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041710",
            "telephone_number": "516-783-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDERWALA",
        "first_name": "VIJAY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "297124",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "274346435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

Verify at the official NPI Registry.