Shivannah Savatri Chiatar, RPA-C, M.S.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

014697 Issued in NY

Practice address

40 E Main St
Bay Shore, NY 11706-8301

Phone

(631) 647-8765

NPI assigned

Jun 8, 2011

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

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.

• Suffolk Primary Health, LLC

  • Primary Care Clinic/Center
  • Riverhead, NY
  • NPI 1174965727
  Medicare reassignment
• Island Wide Medical Care PLLC

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1558049577
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1275827115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012198",
            "telephone_number": "631-208-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068301",
            "telephone_number": "631-647-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIATAR",
        "first_name": "SHIVANNAH",
        "middle_name": "SAVATRI",
        "name_prefix": "Ms.",
        "credential": "RPA-C, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinghing Cheng
• Cherished Care and Residences Inc
• Laura Blinn Cheshire
• Emily Chesney, MS,CGC
• Joseph Salvatore Chiaramonte
• Brenda Chicas
• Jennifer Chillemi, LMSW
• Carole J Chin, NPP
• Laura Ashley Chin, NP, RN
• Susan Chiovari, OTR/L

• Medical Physician Assistant in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.