Individual provider Active NPI

Mark Vaynkhadler, M.D.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1548452352
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
245029 Issued in NY
Practice address
1502 E 14TH St
Suite #2
Brooklyn, NY 11230-7283
Phone
(347) 541-6241
Fax
(718) 764-1229
NPI assigned
Aug 15, 2007
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 245029 NY Primary
Gynecology Physician 207VG0400X 245029 NY
Obstetrics Physician 207VX0000X 245029 NY

Addresses

Primary practice location

1502 E 14TH St
Suite #2
Brooklyn, NY 11230-7283

Mailing address

1502 E 14TH St Ste 2
Brooklyn, NY 11230-7148
Phone (347) 541-6241

Other identifiers 1

IdentifierTypeStateIssuer
245029OtherNY STATE LICENSE

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
I20071113000680 NY Practitioner - Obstetrics/Gynecology 2769570449 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Gregory Shifrin OB/GYN PCGroup PAC ID 9830128271, 5 clinicians

Practice addresses (Care Compare)

1766 E 12 St
Brooklyn, NY 11229-1014
Phone (718) 743-0505

2882 W 15TH St
Brooklyn, NY 11224-2770
Phone (718) 769-6868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245029NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mujibur R. Majumder, MD, PC Obstetrics & Gynecology CurrentSince Jul 31, 2021 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Dr Gregory Shifrin OBGYN PC Obstetrics & Gynecology CurrentSince Mar 1, 2021 Accepting new patients
M.V. OBGYN P.C. Gynecology CurrentSince Feb 1, 2025 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Mar 1, 2020 Accepting new patients
MMC OB/GYN Hospital Past Accepting new patients

Locations

1502 E 14th St
Ste 2
Brooklyn, NY 11230
Phone (347) 541-6241

1766 E 12th St
Brooklyn, NY 11229
Phone (718) 375-2200

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2797 Ocean Pkwy
Ste B
Brooklyn, NY 11235
Phone (718) 769-6868

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

5701 4th Ave
Brooklyn, NY 11220
Phone (646) 837-5448

8421 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 615-4000

4036 Junction Blvd
Flushing, NY 11368
Phone (718) 769-6868

Networks

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

Interoperability endpoints

  • Direct secure messaging: markvaynkhadler@mai.allscriptsdirect.net
  • Direct secure messaging: mvaynkhadler3387376@nychhc.direct-ci.com

Organizations & group practices 8

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1548452352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E 14TH ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307148",
            "telephone_number": "347-541-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E 14TH ST",
            "address_2": "SUITE #2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307283",
            "telephone_number": "347-541-6241",
            "fax_number": "718-764-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYNKHADLER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "245029",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "245029",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "245029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "245029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.