Active NPI
Vidya Valada Internal Medicine P.C
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1427095223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VIDYA VALADA INTERNAL MEDICINE P.C
- Practice address
- 580 Park Ave Apt 1B
New York, NY 10065-7342 - Phone
- (212) 755-0037
- Fax
- (212) 688-2207
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vidya Valada, M.D;
- Title
- President
- Phone
- (347) 351-3315
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
580 Park Ave Apt 1B
New York, NY 10065-7342
Mailing address
35 Sutton PL # 12D
New York, NY 10022-2429
Phone (347) 351-3315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
580 Park Ave
Apt 1B
New York, NY 10065
Phone (212) 755-0037
800A 5th Ave
Ste 206
New York, NY 10065
Phone (212) 755-0037
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1336186758
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1780825059
-
- Psychiatry Physician
- Cresskill, NJ
- NPI 1588697452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718236800000",
"number": "1427095223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SUTTON PL # 12D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222429",
"telephone_number": "347-351-3315",
"fax_number": "212-755-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 PARK AVE APT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657342",
"telephone_number": "212-755-0037",
"fax_number": "212-688-2207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDYA VALADA INTERNAL MEDICINE P.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A",
"authorized_official_last_name": "VALADA",
"authorized_official_first_name": "VIDYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-351-3315",
"authorized_official_credential": "M.D;"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.