Vijay Chadderwala, D.O.
Individual provider Active NPI Family Medicine Physician · Sunnyside, NY
NPI 1376993287 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1376993287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 297124 (NY)
- Practice address
- 4724 Greenpoint Ave
Sunnyside, NY 11104-1710 - Phone
- (516) 783-4600
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- 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
- City Medical of Upper East Side PLLC
East Point Medical PC
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 100
- Quality
- 82.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190715002571 | NY | Practitioner - Family Practice | 5799020202 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274346435 | NY | MD | Family Medicine Physician |
| 297124 | NY | MD | Family Medicine Physician |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chadderwala Medical PC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current |
Accepting new patients | |
| East Point Medical PC | Family Medicine | Current |
Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current |
Accepting new patients | |
| Summit Medical Group PA | Past | Accepting new patients | |
| Good Health Psychiatric Services PC | 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 H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- vijay.chadderwala.1@2983.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 297124 | NY | Yes |
| 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
Other providers in Sunnyside, NY
- Expedito H Castillo
- Amada Edna Castro
- Mary K Caulfield Davis
- Laureta Caushaj
- Christa J Cavallaro
- Lorell Chalas
- Dong Soo Chang
- Soo Jin Chang
- Yoonsun Chang
- Alice Jue Jue Chen
All providers in Sunnyside, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.