Active NPI
Stella J Cheriyan, MS FNP
- Family Nurse Practitioner
- Staten Island, NY
National Provider Identifier
1104097807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F3352361
- Practice address
- 475 Seaview Avenue
Staten Island University Hospital Ed Holding Area
Staten Island, NY 10305 - Phone
- (718) 226-8355
- Fax
- (718) 226-1939
- NPI assigned
- Mar 20, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F3352361 | NY | Primary |
Addresses
Primary practice location
475 Seaview Avenue
Staten Island University Hospital Ed Holding Area
Staten Island, NY 10305
Mailing address
475 Seaview Avenue
Staten Island University Hospital Department of Medicin
Staten Island, NY 10305
Phone (718) 226-9511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3352361 | NY | MD | Family Nurse Practitioner |
Interoperability endpoints
- scheriyan61133@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1104097807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVENUE",
"address_2": "STATEN ISLAND UNIVERSITY HOSPITAL DEPARTMENT OF MEDICIN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10305",
"telephone_number": "718-226-9511",
"fax_number": "718-226-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVENUE",
"address_2": "STATEN ISLAND UNIVERSITY HOSPITAL ED HOLDING AREA",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10305",
"telephone_number": "718-226-8355",
"fax_number": "718-226-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERIYAN",
"first_name": "STELLA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MS FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F3352361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.