Vaidarshi Abbagoni, MD
Individual provider Active NPI Internal Medicine Physician · New York, NY
NPI 1871237495 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1871237495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 337756 (NY)
- Practice address
- 55 Water St FL 46
New York, NY 10041-3211 - Phone
- (347) 831-1656
- NPI assigned
- Apr 21, 2022
- Reactivated
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
55 Water St
FL 46
New York, NY 10041-3211
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250927000355 | NY | Practitioner - Internal Medicine | 7113431701 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJHS Medical Associates | Internal Medicine | Current |
Accepting new patients |
Locations
55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 337756 | NY | Yes |
Addresses
Primary practice location
55 Water St FL 46
New York, NY 10041-3211
Mailing address
55 Water St FL 46
New York, NY 10041-3211
Phone (212) 649-5555
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All providers in New York, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.