Individual provider Active NPI

Alexander Vaysman, M.D

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1396793113
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199940 Issued in NY
Practice address
493 Beach 20 Street
Far Rockaway, NY 11691
Phone
(718) 327-6400
Fax
(718) 327-2218
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 199940 NY Primary

Addresses

Primary practice location

493 Beach 20 Street
Far Rockaway, NY 11691

Mailing address

204 Combs Ave
Woodmere, NY 11598-1456
Phone (718) 327-6400

Other identifiers 1

IdentifierTypeStateIssuer
01584418MedicaidNY

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
I20040305000020 NY Practitioner - Internal Medicine 0244128932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cutting Edge Medical P.C.Group PAC ID 6002872264, 2 clinicians

Practice addresses (Care Compare)

493 Beach 20TH St
Far Rockaway, NY 11691-3621
Phone (718) 327-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.29 of 100Reported as apm
Quality
80.38
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Beach Medical PC Internal Medicine Past Accepting new patients
Opop, LLC Past Accepting new patients

Networks

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

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 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396793113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981456",
            "telephone_number": "718-327-6400",
            "fax_number": "718-327-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BEACH 20 STREET",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-327-6400",
            "fax_number": "718-327-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYSMAN",
        "first_name": "ALEXANDER",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01584418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.