Vivek Jayadeva, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

319423 Issued in NY

Practice address

98120 Queens Blvd Unit B
Rego Park, NY 11374-4357

Phone

(516) 320-8441

NPI assigned

Jun 30, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mettapsychiatrypllc.vivekjayadeva@158352.advancedmd-direct.com
• Direct secure messaging: vivekjayadeva@tdh.allscriptsdirect.net

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.

• Metta Psychiatry PLLC

  • Psychiatry Physician
  • Bayside, NY
  • NPI 1992576102

  Single Specialty

  Medicare reassignment NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Single Specialty

  NPD

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1922413780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98120 QUEENS BLVD UNIT B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744357",
            "telephone_number": "516-320-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98120 QUEENS BLVD UNIT B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744357",
            "telephone_number": "516-320-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYADEVA",
        "first_name": "VIVEK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "319423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Leslie Jantzen, L.C.S.W.
• Jasmine Organic RX Inc
• Rosa Victoria Balcos Javaluyas, DPT
• Maryam Javid, MS., OTR/L
• Simranjit Kaur Jawandha, DO
• Jayesh Kamdar, MD
• JC Jimenez Medical PLLC
• Melissa Tessa Jean, ANP
• Jenn Jill Family Inc
• Jenn Jill Family Inc

• Psychiatry Physician in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.