Arun Gajan Pradeep

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

475 Seaview Ave Staten Island Department of Medicine
Staten Island Univeristy Hospital
New York City, NY 10305

Phone

(718) 226-9522

NPI assigned

Apr 2, 2024

Last updated

Oct 7, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: apradeep71340@northwell.direct-ci.com

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1003668344",
    "addresses": [
        {
            "country_code": "IN",
            "country_name": "India",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "204 SAMHITA REGENCY FLAT 1ST MAIN",
            "address_2": "PAI LAYOUT",
            "city": "BENGALURU",
            "state": "KARNATAKA",
            "postal_code": "00000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE STATEN ISLAND DEPARTMENT OF MEDICINE",
            "address_2": "STATEN ISLAND UNIVERISTY HOSPITAL",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADEEP",
        "first_name": "ARUN GAJAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameena Pinjari, MD
• Teresa Pires Eloy Prazeres
• Gloria Esther Pizarro, LCSW-R
• Paulina Plaskon, PA-C
• Martin Allan Posner, MD
• Dharshana Prem Anand, MD
• Ann Helena Pyz, DDS
• Haneen Qadourah, MD
• Stephan Jeremy Quentzel, M.D.
• Mehrdad Rahbrnia

• Student in an Organized Health Care Education/Training Program in New York City, NY
• Providers in New York City, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.