Individual provider Active NPI

Sarathamani Mariadason, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1265506026
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
171112-1 Issued in NY
Practice address
8620 18TH Ave
Bensonhurst Outpatient Clinic
Brooklyn, NY 11214-3702
Phone
(718) 256-8818
Fax
(718) 234-2314
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 171112-1 NY Primary

Addresses

Primary practice location

8620 18TH Ave
Bensonhurst Outpatient Clinic
Brooklyn, NY 11214-3702

Mailing address

401 E 86TH St
Apt # 5J
New York, NY 10028-6403
Phone (212) 600-0455

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

LicenseStateTypeSpecialty
171112-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Psychiatric Centers, Inc Past Accepting new patients
Brooklyn Psychiatric Centers Past Accepting new patients
Brooklyn Psychiatric Centers, Inc Past Accepting new patients
Brooklyn Psychiatric Centers, Inc Past Accepting new patients
Brooklyn Psychiatric Centers, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265506026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 86TH ST",
            "address_2": "APT # 5J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286403",
            "telephone_number": "212-600-0455",
            "fax_number": "212-600-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 18TH AVE",
            "address_2": "BENSONHURST OUTPATIENT CLINIC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143702",
            "telephone_number": "718-256-8818",
            "fax_number": "718-234-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIADASON",
        "first_name": "SARATHAMANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "171112-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.