Individual provider Active NPI

Edvard Skripochnik, MD

  • Vascular Surgery Physician
  • Bronx, NY
National Provider Identifier
1902291289
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
304085 Issued in NY
Practice address
3219 E Tremont Ave
Bronx, NY 10461-5751
Phone
(718) 792-8115
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 304085 NY Primary

Addresses

Primary practice location

3219 E Tremont Ave
Bronx, NY 10461-5751

Mailing address

3219 E Tremont Ave
Bronx, NY 10461-5751
Phone (718) 792-8115

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL Https://epicproxy-pub.et1089.epichosted.com/fhirproxy/api/fhir/dstu2/ Health Information Exchange (HIE)
FHIR URL Https://epicproxy-pub.et1089.epichosted.com/fhirproxy/api/fhir/r4 Health Information Exchange (HIE)
Direct Messaging Address Eds9081@direct.nyp.org Direct

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
I20200624002943 NY Practitioner - Vascular Surgery 6608298427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Westchester Medical Practice PCGroup PAC ID 9335238732, 198 clinicians
RB Heart and Vascular Care PLLCGroup PAC ID 9335501634, 19 clinicians
Trustees of Columbia University in the City of New YorkGroup PAC ID 8527972546, 2,262 clinicians

Practice addresses (Care Compare)

2649 Strang Blvd
Yorktown Heights, NY 10598-2939
Phone (914) 962-4005

4 HDSN Vly Prof PLZ
Newburgh, NY 12550-3157
Phone (781) 530-0070

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal32
Leg revascularization (restoring blood flow)30
Removal of tissue22
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304085NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RB Heart and Vascular Care PLLC CurrentSince Sep 1, 2024 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Jul 1, 2020 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince May 3, 2020 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Jul 1, 2020 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince May 3, 2020 Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792

3219 E Tremont Ave
Bronx, NY 10461
Phone (718) 792-7625

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

1 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-5956

23 Kiernan Rd
Campbell Hall, NY 10916
Phone (404) 287-4401

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

2 Glenmere Cove Rd
Goshen, NY 10924
Phone (845) 291-4700

1987 Route 52
Ste 7
Liberty, NY 12754
Phone (845) 292-5200

50 Community Ln
Liberty, NY 12754
Phone (845) 292-5910

390 Crystal Run Rd
Unit 10
Middletown, NY 10941

400 State Route 17M
Ste 17
Monroe, NY 10950
Phone (845) 492-8637

14 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 794-0209

427 Broadway
Ste 3
Monticello, NY 12701
Phone (845) 292-2006

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

4 Hdsn Vly Prof Plz
Ste B
Newburgh, NY 12550

4 Hdsn Vly Prof Plz
Newburgh, NY 12550
Phone (845) 561-3666

156 Pike St
Port Jervis, NY 12771
Phone (845) 794-7741

37 S Mesier Ave
Wappingers Fl, NY 12590
Phone (718) 697-7523

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

2649 Strang Blvd
Ste 206
Yorktown Hts, NY 10598
Phone (914) 233-3008

2649 Strang Blvd
Yorktown Hts, NY 10598
Phone (914) 245-2681

Networks

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

Interoperability endpoints

  • Direct secure messaging: eds9081@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/fhirproxy/api/fhir/r4
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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 6

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1902291289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615751",
            "telephone_number": "718-792-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615751",
            "telephone_number": "718-792-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRIPOCHNIK",
        "first_name": "EDVARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "304085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Https://epicproxy-pub.et1089.epichosted.com/fhirproxy/api/fhir/dstu2/",
            "affiliation": "N",
            "endpointDescription": "Fhir",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fhir",
            "address_1": "3219 E Tremont Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104615751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Https://epicproxy-pub.et1089.epichosted.com/fhirproxy/api/fhir/r4",
            "affiliation": "N",
            "endpointDescription": "Fhir",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fhir",
            "address_1": "3219 E Tremont Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104615751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Eds9081@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "3219 E Tremont Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104615751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.