Nitin Rajkumar Mariwalla, MD, MPH, MS

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

287808 Issued in NY

Practice address

1175 Montauk Hwy
Ste 3
West Islip, NY 11795

Phone

(631) 500-9400

Fax

(631) 500-9444

NPI assigned

Jun 4, 2008

Last updated

Sep 6, 2018By 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 2

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

Neurosurgery

Education

Tulane University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nitin Mariwalla MD PLLCGroup PAC ID 0941692495, 12 clinicians

New York City Health and Hospitals CorporationGroup PAC ID 4183535305, 543 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
• St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
• South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: nmariwalla100241@direct.medisys.org
• Direct secure messaging: nmariwalla307858@nyumc.direct-ci.com
• Direct secure messaging: nmariwalla3675755@nychhc.direct-ci.com
• Direct secure messaging: nmariwalla67080@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nitin Mariwalla MD PLLC

  • Neurological Surgery Physician
  • West Islip, NY
  • NPI 1659943942
  Medicare reassignment Care Compare group NPD
• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment Care Compare group
• Coney Island Medical Practice Plan, P.C.

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1386951762
  Medicare reassignment NPD
• Physician Affiliate Group of New York PC

  • Registered Dietitian
  • New York, NY
  • NPI 1013375526
  Medicare reassignment NPD
• Atlantic Consultants LLC

  dba Bowne Chemists

  • Community/Retail Pharmacy
  • Flushing, NY
  • NPI 1295372795
  NPD (past) Authorized official
• Atlantic SC LLC

  • Ambulatory Surgical Clinic/Center
  • West Islip, NY
  • NPI 1295494359
  NPD (past)
• Link Medical Services PLLC

  • Specialist
  • Riverhead, NY
  • NPI 1326716887
  NPD (past)
• New York City Health and Hospitals Corporation

  dba Coney Island Hospital

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1124032982
  NPD (past)
• Colonia Spine & Wellness Center PA

  • Chiropractor
  • Colonia, NJ
  • NPI 1952536054
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York City Health and Hospitals Corporation

  dba Coney Island Hospital

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1124032982
  Care Compare affiliation
• St. Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
  • NPI 1982663423
  Care Compare affiliation
• St. Francis Hospital

  • General Acute Care Hospital
  • Roslyn, NY
  • NPI 1043279565
  Care Compare affiliation

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1033378161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "address_2": "STE 3",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "631-500-9400",
            "fax_number": "631-500-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "address_2": "STE 3",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-500-9400",
            "fax_number": "631-500-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIWALLA",
        "first_name": "NITIN",
        "middle_name": "RAJKUMAR",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "287808",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "390200000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mariani, MS ED
• Christine Marijosius, PT
• Stephanie Cay Marinello
• Mariwalla Dermatology, PLLC
• Kavita Mariwalla, M.D
• Rajesh Mariwalla, MD
• Rajkumar G Mariwalla, M.D.
• Alyssa Marklin, NP
• Ashley Paige Marmaro, DO
• Diane M. Marrone, L.C.S.W.

• Neurological Surgery Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.