Active NPI
Sam Natarajan, MD
- Nephrology Physician
- White Plains, NY
National Provider Identifier
1225017189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 117711-1
- Practice address
- 222 Westchester Ave
Suite 405
White Plains, NY 10604-2906 - Phone
- (914) 682-6474
- Fax
- (914) 682-6780
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 117711-1 | NY | Primary |
Addresses
Primary practice location
222 Westchester Ave
Suite 405
White Plains, NY 10604-2906
Mailing address
210 Westchester Ave
3Rd Floor
White Plains, NY 10604-2901
Phone (914) 682-6474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00218786 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117711-1 | NY | MD | Nephrology Physician |
Interoperability endpoints
- snatarajan@hiemail.healtheconnections.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1225017189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WESTCHESTER AVE",
"address_2": "3RD FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042901",
"telephone_number": "914-682-6474",
"fax_number": "914-682-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 WESTCHESTER AVE",
"address_2": "SUITE 405",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042906",
"telephone_number": "914-682-6474",
"fax_number": "914-682-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATARAJAN",
"first_name": "SAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "117711-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00218786",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.