Kevin Michael Vaclavik, MD

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Practice address

993 Park Ave
New York, NY 10028-0921

Phone

(212) 371-8460

NPI assigned

Apr 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1649067307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265503",
            "telephone_number": "832-371-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280921",
            "telephone_number": "212-371-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACLAVIK",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Beth Vachhani, MD
• Beverley Vachher, PT
• Marie-Louise Claire Vachon, MD
• Mary-Elizabeth Vachon, LMSW, MPH
• Victoria Lauren Vachris
• Richard Vactor I, LMSW
• Vijay B Vad, M.D
• Amita Vadada, M.D.
• Grashma Vadakkel
• Pavan Theja Vaddera, M.D

• Corporate Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Corporate Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.