NPIMap

Organization Active NPI

Sima Raguthu MD PLLC

  • Neurology Physician
  • Staten Island, NY
National Provider Identifier
1275818668
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
141323 Issued in NY
Legal business name
SIMA RAGUTHU MD PLLC
Practice address
11 Ralph PL
Staten Island, NY 10304-4401
Phone
(718) 816-1583
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Simhachalam Raguthu, M.D
Title
Owner
Phone
(718) 816-1583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 141323 NY Primary

Addresses

Primary practice location

11 Ralph PL
Staten Island, NY 10304-4401

Mailing address

38 Glendale Ave
Staten Island, NY 10304-4312
Phone (718) 816-1583

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1275818668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GLENDALE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044312",
            "telephone_number": "718-816-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-816-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMA RAGUTHU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "RAGUTHU",
        "authorized_official_first_name": "SIMHACHALAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-816-1583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "141323",
            "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 Oct 17, 2011; 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.