Individual provider Active NPI

Abe Joseph Vatakencherry, MD

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1588987697
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
250594 Issued in NY
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

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101026000200 NY Practitioner - Anesthesiology 3678766375 Reassigns benefits to 6 organizations
I20110603000479 NJ Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 3678766375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

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

LicenseStateTypeSpecialty
250594NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Endoscopy Center LLC CurrentSince Jun 27, 2018 Accepting new patients
Glacier Cryo Medical P.C CurrentSince Jan 1, 2018 Accepting new patients
Northern New Jersey Spine and Rehabilitation LLC Pain Medicine CurrentSince Sep 1, 2025 Accepting new patients
Yorkville Endoscopy, LLC CurrentSince Sep 9, 2023 Accepting new patients
West Side Gi, LLC CurrentSince Jan 21, 2020 Accepting new patients
York Anesthesiologists PLLC CurrentSince Aug 21, 2018 Accepting new patients
Gastrointestinal Care of Long Island PLLC CurrentSince Dec 12, 2025 Accepting new patients
Nyc Medical of Queens PC PastSince Mar 9, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.