Active NPI
Abe Joseph Vatakencherry, MD
- Pain Medicine (Anesthesiology) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 250594
- Practice address
- 2350 Broadway Apt 734
New York, NY 10024-3214 - Phone
- (917) 442-4182
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 250594 | NY | Primary |
Addresses
Primary practice location
2350 Broadway Apt 734
New York, NY 10024-3214
Mailing address
2350 Broadway Apt 734
New York, NY 10024-3214
Phone (917) 442-4182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 Sagamore Rd
Tuckahoe, NY 10707-4009
Phone (914) 337-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250594 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Endoscopy Center LLC | Current | Accepting new patients | |
| Glacier Cryo Medical P.C | Current | Accepting new patients | |
| Northern New Jersey Spine and Rehabilitation LLC | Pain Medicine | Current | Accepting new patients |
| Yorkville Endoscopy, LLC | Current | Accepting new patients | |
| West Side Gi, LLC | Current | Accepting new patients | |
| York Anesthesiologists PLLC | Current | Accepting new patients | |
| Gastrointestinal Care of Long Island PLLC | Current | Accepting new patients | |
| Nyc Medical of Queens PC | Past | Accepting new patients |
Locations
100 Town Square Pl
Ste 405
Jersey City, NJ 07310
Phone (908) 998-4277
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483
5500 Broadway
Ste A
Bronx, NY 10463
Phone (718) 543-3635
2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112
7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142
201 E 93rd St
New York, NY 10128
Phone (917) 281-0100
535 5th Ave
Fl 5
New York, NY 10017
Phone (212) 682-2828
310 E 72nd St
New York, NY 10021
Phone (212) 396-3016
136 Sagamore Rd
Tuckahoe, NY 10707
Phone (914) 337-6400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAEACD
Organizations & group practices 9
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.
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1689889974
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1124324181
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1588938682
-
- Anesthesiology Physician
- New York, NY
- NPI 1508947441
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1174873780
-
- Pain Medicine (Anesthesiology) Physician
- Jersey City, NJ
- NPI 1447800271
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1144854811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1588987697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 BROADWAY APT 734",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243214",
"telephone_number": "917-442-4182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 BROADWAY APT 734",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243214",
"telephone_number": "917-442-4182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VATAKENCHERRY",
"first_name": "ABE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-03",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "250594",
"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 Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.