NPIMap

Organization Active NPI

Big Leap Medical Group PA

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1821841503
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Sumeet Vadera, MDNPI 1629248380
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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

908 Oak Tree Ave
Ste N
South Plainfield, NJ 07080
Phone (908) 561-5551

3058 E Tremont Ave
Bronx, NY 10461
Phone (718) 409-0500

103 Norfolk St
New York, NY 10002

137 E 25th St
Fl 11
New York, NY 10010
Phone (201) 497-4169

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

222 E 46th St
Rm 403
New York, NY 10017
Phone (631) 629-5887

660 White Plains Rd
Ste 125
Tarrytown, NY 10591
Phone (914) 438-5121

Practitioners & affiliated clinicians

Practitioners 64

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 64

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.

Verify at the official NPI Registry.