Individual provider Active NPI

Jothi P Vaidyalingam, M.D.

  • Internal Medicine Physician
  • Montgomery, NY
National Provider Identifier
1710931316
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220686 Issued in NY
Practice address
2817 Albany Post Rd
Montgomery, NY 12549-2132
Phone
(845) 457-3155
Fax
(845) 457-9036
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220686 NY Primary

Addresses

Primary practice location

2817 Albany Post Rd
Montgomery, NY 12549-2132

Mailing address

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

Other practice location 1

120 Highland Ave
Middletown, NY 10940-4713
Phone (845) 342-1033

Other practice location 2

68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 794-3300 ext. 2831

Other practice location 3

22 Van Duzer Pl
Warwick, NY 10990-1014
Phone (845) 987-5717

Other practice location 4

214 Harriman Dr
Goshen, NY 10924-2422
Phone (845) 360-1400

Other identifiers 2

IdentifierTypeStateIssuer
02181762MedicaidNY
110222329OtherNYRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvaidyalingam33151@direct.garnethealth.org Garnet Health Doctors PC

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
I20100315000851 NY Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 8022143155

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
61
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1710931316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-333-7575",
            "fax_number": "845-333-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ALBANY POST RD",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492132",
            "telephone_number": "845-457-3155",
            "fax_number": "845-457-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109404713",
            "country_code": "US",
            "telephone_number": "845-342-1033",
            "fax_number": "845-344-5631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Harris Bushville Rd",
            "address_purpose": "LOCATION",
            "city": "Harris",
            "state": "NY",
            "postal_code": "12742",
            "country_code": "US",
            "telephone_number": "845-794-3300 x2831",
            "fax_number": "845-397-3554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Van Duzer Pl",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "NY",
            "postal_code": "109901014",
            "country_code": "US",
            "telephone_number": "845-987-5717",
            "fax_number": "845-987-5719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Harriman Dr",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109242422",
            "country_code": "US",
            "telephone_number": "845-360-1400",
            "fax_number": "845-333-7139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIDYALINGAM",
        "first_name": "JOTHI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02181762",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110222329",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvaidyalingam33151@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "address_1": "2817 Albany Post Rd",
            "city": "Montgomery",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125492132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, NY

Sources for this page

Verify at the official NPI Registry.