Individual provider Active NPI

Vaty M Poitevien, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1982814034
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
002488 Issued in NY
Practice address
320 W 13TH St
2ND FL
New York, NY 10114-0001
Phone
(212) 645-8111
Fax
(212) 645-8116
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 002488 NY Primary

Addresses

Primary practice location

320 W 13TH St
2ND FL
New York, NY 10114-0001

Mailing address

320 W 13TH St
2ND FL
New York, NY 10114-0001
Phone (212) 645-8111

Other identifiers 1

IdentifierTypeStateIssuer
002488OtherNYLICENSE

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
I20110930000308 NY Practitioner - Internal MedicinePractitioner - Infectious Disease 7618149337 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002488NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Housing Works Health Services III, Inc. CurrentSince Sep 27, 2013 Accepting new patients
Housing Works Health Services III, Inc. Past Accepting new patients

Locations

57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Lowr
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

301 W 37th St
Fl 4
New York, NY 10018
Phone (212) 216-9500

326 W 48th St
New York, NY 10036
Phone (718) 227-0836

Networks

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Housing Works Health Services III IncBrooklyn, NY, CCN 331084 Federally qualified health center W-2 Managing Employee Feb 14, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982814034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W 13TH ST",
            "address_2": "2ND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101140001",
            "telephone_number": "212-645-8111",
            "fax_number": "212-645-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 13TH ST",
            "address_2": "2ND FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101140001",
            "telephone_number": "212-645-8111",
            "fax_number": "212-645-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITEVIEN",
        "first_name": "VATY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "002488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "002488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.