Individual provider Active NPI

Amitasrigowri Sreenivasa Murthy, MD, MPH

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1083703680
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
233349-1 Issued in NY
Practice address
462 1St Ave
New York, NY 10016-9196
Phone
(212) 263-1404
Fax
(212) 263-8887
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 233349-1 NY Primary

Addresses

Primary practice location

462 1St Ave
New York, NY 10016-9196

Mailing address

150 E 85TH St
Apt 10a
New York, NY 10028-2300
Phone (212) 452-2743

Other identifiers 1

IdentifierTypeStateIssuer
02284417MedicaidNY

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
I20180220001046 NY Practitioner - Obstetrics/Gynecology 9032195870 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233349-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island Current Accepting new patients
Long Island FQHC, Inc. CurrentSince Sep 17, 2022 Accepting new patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Nov 25, 2017 Accepting new patients
Harmony Health Care Long Island CurrentSince Sep 17, 2022 Accepting new patients
Planned Parenthood HP Past Accepting new patients

Locations

161 Hempstead Tpke
Elmont, NY 11003
Phone (516) 571-8200

570 Taxter Rd
Ste 250
Elmsford, NY 10523

4 Skyline Dr
Ste 7
Hawthorne, NY 10532
Phone (914) 467-7343

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111

682 Union Ave
Westbury, NY 11590
Phone (516) 571-9500

175 Tarrytown Rd
White Plains, NY 10607
Phone (914) 255-0508

Interoperability endpoints

  • Direct secure messaging: amurthy679903@nychhc.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1083703680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 85TH ST",
            "address_2": "APT 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282300",
            "telephone_number": "212-452-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-263-1404",
            "fax_number": "212-263-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "AMITASRIGOWRI",
        "middle_name": "SREENIVASA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "233349-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02284417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.