Nirilla Anthonimuthu

Key facts

NPI

1225040686

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

215178-1 (NY)

Practice address

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Phone

(718) 616-4408

Fax

(718) 616-4105

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Physician Affiliate Group of New York PC Registered Dietitian · New York, NY · NPI 1013375526
  Medicare reassignment Care Compare group NPD NY
• Coney Island Medical Practice Plan, P.C. General Practice Physician · Brooklyn, NY · NPI 1386951762
  Medicare reassignment NPD NY
• New York City Health and Hospitals Corporation General Acute Care Hospital · Bronx, NY · NPI 1679587679
  NPD (past)

Hospital & facility affiliations 1

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

• New York City Health and Hospitals Corporation General Acute Care Hospital · Brooklyn, NY · NPI 1043224355
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Affiliate Group of New York PC (1,222 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kings County Hospital Center Hospital · Brooklyn, NY · CCN 330202

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 7)

Locations

Networks

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225040686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 LIGHTNER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145505",
            "telephone_number": "718-769-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-4408",
            "fax_number": "718-616-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONIMUTHU",
        "first_name": "NIRILLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "215178-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02084742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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