Individual provider Active NPI

Anu Vazhappilly, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scarsdale, NY
National Provider Identifier
1912519059
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403078-01 Issued in NY
Practice address
356 Central Park Ave Apt E3
Scarsdale, NY 10583-1363
Phone
(914) 202-5014
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X F403078 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403078 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403078-01 NY Primary

Addresses

Primary practice location

356 Central Park Ave Apt E3
Scarsdale, NY 10583-1363

Mailing address

356 Central Park Ave Apt E3
Scarsdale, NY 10583-1363
Phone (914) 202-5014

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210324001682 NY Practitioner - Nurse Practitioner 2365859022 Reassigns benefits to 5 organizations
Practice locations: Scarsdale, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F403078NYMDPsychiatric/Mental Health Registered Nurse
F403078-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anu Joy Vazhappilly Nurse Practitioner in Psychiatry Single Specialty CurrentSince Sep 10, 2023 Accepting new patients
Bronx Medical Practice P.C. Single Specialty CurrentSince Feb 2, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 5, 2021 Accepting new patients
Montefiore Medical Center Single Specialty CurrentSince Sep 17, 2023 Accepting new patients
Essen Medical Urgicare, PLLC Single Specialty CurrentSince Mar 5, 2021 Accepting new patients
House Call Medical Services of New York, PLLC Single Specialty CurrentSince Feb 2, 2022 Accepting new patients
Essen Medical Associates, PC Single Specialty CurrentSince Mar 5, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2023 Accepting new patients

Locations

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

111 E 210th St
Bronx, NY 10467

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

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

Interoperability endpoints

  • Direct secure messaging: avazhapp@montefioredirect.com

Organizations & group practices 8

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 1

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1912519059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 CENTRAL PARK AVE APT E3",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831363",
            "telephone_number": "914-202-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 CENTRAL PARK AVE APT E3",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831363",
            "telephone_number": "914-202-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZHAPPILLY",
        "first_name": "ANU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403078",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403078",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403078-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.