Individual provider Active NPI

Timothy Jayasundera

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1811908205
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-060847-L Issued in PA
Practice address
148 E 38TH St
New York, NY 10016-2607
Phone
(212) 679-4488
Fax
(212) 684-4841
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-060847-L PA Primary

Addresses

Primary practice location

148 E 38TH St
New York, NY 10016-2607

Mailing address

148 E 38TH St
New York, NY 10016-2607
Phone (212) 679-4488

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
I20070303000023 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173429891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

130 -56 Lefferts Blvd
South Ozone Park, NY 11420-2706
Phone (718) 835-5500

1678 Utica Ave
Brooklyn, NY 11234-1525
Phone (718) 763-6666

184 E 70TH St
B2
New York, NY 10021-5154
Phone (718) 763-6666

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as individual
Quality
61.2
Improvement activities
40
Cost
84.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-060847-LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince May 1, 2011 Accepting new patients
New York University Cardiovascular Disease CurrentSince May 1, 2011 Accepting new patients
Timothy G Jayasundera MD PC Cardiovascular Disease Current Accepting new patients
Timothy Jayasundera, M.D. P.C Cardiovascular Disease CurrentSince Mar 5, 2007 Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Past Accepting new patients
Ralph Edward Schlossman MDPC Past Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1678 Utica Ave
Brooklyn, NY 11234
Phone (718) 763-6666

184 E 70th St
Ste B2
New York, NY 10021
Phone (212) 535-1550

550 1st Ave
#576
New York, NY 10016
Phone (212) 263-5656

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

13056 Lefferts Blvd
South Ozone Park, NY 11420
Phone (718) 835-5500

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1811908205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 E 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162607",
            "telephone_number": "212-679-4488",
            "fax_number": "212-684-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162607",
            "telephone_number": "212-679-4488",
            "fax_number": "212-684-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYASUNDERA",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD-060847-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.