ANTHONY P VAVASIS MD
NPI 1396729984
Internal Medicine - Adolescent Medicine in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RA0000X and a focus in Adolescent Medicine.

Active since December 06, 2005PECOS Enrolled

265 ASHLAND PL, BROOKLYN, NY 11217(718) 606-3863(718) 260-8630 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Anthony P Vavasis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY P VAVASIS MD (NPI 1396729984) is an individual adolescent medicine provider in Brooklyn, New York, licensed in New York (194759) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396729984

Entity TypeIndividualMale

Primary Taxonomy207RA0000X

Provider Legal NameANTHONY P VAVASISCredential: MD

Location Address265 ASHLAND PLBrooklyn, NY 11217-1661

Mailing Address356 W 18th StNew York, NY 10011-4401 · (212) 271-7200 · Fax (212) 271-8111

Phone(718) 606-3863

Fax(718) 260-8630

Sole ProprietorNo

Enumeration DateDecember 6, 2005

Last NPPES UpdateApril 8, 2025

NPPES CertifiedApril 8, 2025

✔ NPI 1396729984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0000X

License✔ Licensed in NY · 194759

Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 194759 (NY)

265 ASHLAND PL, Brooklyn, NY 11217

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony P Vavasis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.