NPIMap

Organization Active NPI

Big Leap Medical Group of America P.a.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1720886807
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BIG LEAP MEDICAL GROUP OF AMERICA P.A.
Practice address
169 Madison Ave Ste 2828
New York, NY 10016-5101
Phone
(786) 305-4192
NPI assigned
Mar 5, 2025
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Sumeet Vadera
Title
Owner
Phone
(786) 305-4192

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X
Anesthesiology Physician 207L00000X
Emergency Medicine Physician 207P00000X
Neurological Surgery Physician 207T00000X
Psychiatry Physician 2084P0800X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

169 Madison Ave Ste 2828
New York, NY 10016-5101

Mailing address

169 Madison Ave Ste 2828
New York, NY 10016-5101
Phone (929) 205-6638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CO, NC, WI5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20250717000820 TX Part B Supplier - Clinic/Group Practice 4284159161 Receives reassigned benefits from 19 practitioners
Practice locations: Tyler, TX; Texarkana, TX; McKinney, TX; Fort Worth, TX; Longview, TX; Grand Prairie, TX; Houston, TX; Bellaire, TX…
O20250725001643 FL Part B Supplier - Clinic/Group Practice 4284159161 Receives reassigned benefits from 6 practitioners
Practice locations: Delray Beach, FL; Palm Beach Gardens, FL
O20250908002725 CO Part B Supplier - Clinic/Group Practice 4284159161 Receives reassigned benefits from 2 practitioners
Practice locations: Centennial, CO
O20260218002395 NC Part B Supplier - Clinic/Group Practice 4284159161 Receives reassigned benefits from 5 practitioners
Practice locations: Raleigh, NC
O20260407000159 WI Part B Supplier - Clinic/Group Practice 4284159161 Receives reassigned benefits from 3 practitioners
Practice locations: La Crosse, WI

National Provider Directory

National Provider Directory

Locations

1874 Dr Andres Way
Ste 127
Delray Beach, FL 33445
Phone (561) 847-3662

1241 Airport Rd
Ste A
Destin, FL 32541
Phone (850) 598-0099

11000 Prosperity Farms Rd
Ste 10
Palm Beach Gardens, FL 33410

10334 Manchester Rd
Saint Louis, MO 63122
Phone (314) 369-2897

169 Madison Ave
New York, NY 10016
Phone (385) 308-8034

169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076

6300 West Loop S
Ste 525
Bellaire, TX 77401
Phone (571) 267-8364

4622 Saint Amand Cir
Fort Worth, TX 76126
Phone (786) 305-4192

7710 Beechnut St
Ste 206
Houston, TX 77074
Phone (713) 772-4562

319 Industrial Dr
Longview, TX 75602
Phone (903) 213-9120

224 Ed English Dr
Ste B
Shenandoah, TX 77385
Phone (510) 210-5030

1043 Asher Way
Ste 300
Tyler, TX 75703
Phone (903) 527-7962

1499 SE Tech Center Pl
Ste 380
Vancouver, WA 98683

2309 State Rd
La Crosse, WI 54601
Phone (608) 893-6552

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1720886807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 2828",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "929-205-6638",
            "fax_number": "212-901-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 2828",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "786-305-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG LEAP MEDICAL GROUP OF AMERICA P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "VADERA",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-305-4192"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.