Mariamma Chelagiri, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

234125 Issued in NY

Practice address

500 Commack Rd Unit 204
Commack, NY 11725-5022

Phone

(631) 855-1200

Fax

(631) 630-6297

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mariamma George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104880392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK WTC WELLNESS PROGRAM,",
            "address_2": "500 COMMACK ROAD, SUITE 204",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255022",
            "telephone_number": "631-855-1200",
            "fax_number": "631-630-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COMMACK RD UNIT 204",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255022",
            "telephone_number": "631-855-1200",
            "fax_number": "631-630-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Deborah Rd",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117916721",
            "country_code": "US",
            "telephone_number": "646-472-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHELAGIRI",
        "first_name": "MARIAMMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAMMA",
            "last_name": "GEORGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Cerini, RPH
• Christine Cetrangol, LPN
• Michelle Chan
• Seoungyeun Chang
• Donna Maria Charbonneau
• Lisa Cheng
• Deanna M Chero
• Harris Cherpelis
• Cheryl S Chitayat Psy D PC
• Amy Geldzahler Chinitz, LCSW

• Internal Medicine Physician in Commack, NY
• Providers in Commack, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.