Active NPI
Vivify Medical PLLC
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1639908973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- VIVIFY MEDICAL PLLC
- Practice address
- 125 Maiden LN RM 6B
New York, NY 10038-4715 - Phone
- (718) 732-3634
- Fax
- (718) 362-1651
- NPI assigned
- Jul 26, 2024
- 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
- Amnon Beniaminovitz, MD
- Title
- Owner
- Phone
- (212) 480-9500
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
125 Maiden LN RM 6B
New York, NY 10038-4715
Mailing address
125 Maiden LN RM 6B
New York, NY 10038-4715
Phone (212) 480-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2311464 | Vivify Medical PLLC | Certificate of waiver | Sep 22, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1861770604
Multi-Specialty
-
- Physician Assistant
- New York, NY
- NPI 1821788951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769040000000",
"number": "1639908973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MAIDEN LN RM 6B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384715",
"telephone_number": "212-480-9500",
"fax_number": "212-480-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MAIDEN LN RM 6B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384715",
"telephone_number": "718-732-3634",
"fax_number": "718-362-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIVIFY MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-26",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A",
"authorized_official_last_name": "BENIAMINOVITZ",
"authorized_official_first_name": "AMNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-480-9500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"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 Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.