Individual provider Active NPI

Vaidarshi Abbagoni, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1871237495
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
337756 Issued in 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
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 337756 NY Primary

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

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
I20250927000355 NY Practitioner - Internal Medicine 7113431701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337756NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MJHS Medical Associates Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients

Locations

55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1871237495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100413211",
            "telephone_number": "212-649-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 46",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100413211",
            "telephone_number": "347-831-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAGONI",
        "first_name": "VAIDARSHI",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "deactivation_date": "2023-01-18",
        "reactivation_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "337756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.