Active NPI
Big Leap Medical Group PA
- Neurological Surgery Physician
- New York, NY
National Provider Identifier
1821841503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- BIG LEAP MEDICAL GROUP PA
- Practice address
- 169 Madison Ave Ste 2828
New York, NY 10016-5101 - Phone
- (332) 334-1511
- Fax
- (212) 901-0943
- NPI assigned
- Apr 10, 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
- Sumeet Vadera, MD
- Title
- Owner
- Phone
- (133) 233-4151
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Psychiatry Physician | 2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
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
Other practice location 1
5170 Route 9 S
Howell, NJ 07731-3359
Phone (332) 334-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240807002226 | NJ | Part B Supplier - Clinic/Group Practice | 9830636935 |
Receives reassigned benefits from 21 practitioners Practice locations: Howell, NJ; Jersey City, NJ; Morris Plains, NJ; Union City, NJ |
| O20240809001768 | NY | Part B Supplier - Clinic/Group Practice | 9830636935 |
Receives reassigned benefits from 42 practitioners Practice locations: White Plains, NY; Tarrytown, NY; New York, NY; Brooklyn, NY; Bronx, NY; Astoria, NY |
National Provider Directory
National Provider DirectoryLocations
2325 31st St
Ste 400
Astoria, NY 11105
Phone (332) 334-1511
103 Norfolk St
New York, NY 10002
137 E 25th St
Fl 11
New York, NY 10010
Phone (201) 497-4169
222 E 46th St
Rm 403
New York, NY 10017
Phone (631) 629-5887
Practitioners & affiliated clinicians
Practitioners 77
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1043201452
Anesthesiology, NY
-
- Psychiatric/Mental Health Nurse Practitioner
- White Plains, NY
- NPI 1003681958
NY, Psychiatric/Mental Health
-
- Emergency Medicine Physician
- Mineola, NY
- NPI 1346227451
Emergency Medicine, NJ
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1275210015
NY, Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1821841503",
"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",
"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": "332-334-1511",
"fax_number": "212-901-0943"
}
],
"practiceLocations": [
{
"address_1": "5170 Route 9 S",
"address_purpose": "LOCATION",
"city": "Howell",
"state": "NJ",
"postal_code": "077313359",
"country_code": "US",
"telephone_number": "332-334-1511",
"fax_number": "212-901-0943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BIG LEAP MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-10",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "VADERA",
"authorized_official_first_name": "SUMEET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "133-233-4151",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"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 Sep 2, 2025; 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.