Active NPI
Jeevan Y Vinod, M.D.
- Gastroenterology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA09400200
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (212) 434-2000
- NPI assigned
- Jan 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA09400200 | NJ | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
100 E 77TH St
7TH FLR
New York, NY 10075-1850
Phone (212) 570-2075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 -18 Broadway
Suite 104
Fair Lawn, NJ 07410-3016
Phone (201) 797-4503
Hospital & facility affiliations
- St Joseph'S University Medical Center Inc
- Englewood Hospital and Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 69 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Medical and Health Associates,LLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Humc Opco LLC | Current | Accepting new patients | |
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| North Jersey ASC Associates, LLC | Current | Accepting new patients |
Locations
1060 Clifton Ave
Fl 2
Clifton, NJ 07013
Phone (973) 532-7899
1060 Clifton Ave
Clifton, NJ 07013
Phone (973) 532-7899
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-18 Broadway
Ste 104
Fair Lawn, NJ 07410
Phone (201) 773-0887
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
70 Hilltop Rd
Ste 1001
Ramsey, NJ 07446
Interoperability endpoints
- jeevan.vinod@direct.hobokenumc.md
- jeevan.vinod@direct.carepointhealth.org
- jvinod254676@direct.englewoodhealth.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Internal Medicine Physician
- Hoboken, NJ
- NPI 1558673582
-
- Ambulatory Surgical Clinic/Center
- Clifton, NJ
- NPI 1013634039
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400803200000",
"number": "1992941587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"address_2": "7TH FLR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-570-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINOD",
"first_name": "JEEVAN",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-02",
"last_updated": "2014-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA09400200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.