Individual provider Active NPI

Shivani Verma, M.D., M.P.H

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1275832677
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
277248 Issued in NY
Practice address
1332 Rockland Ave
Staten Island, NY 10314-4928
Phone
(917) 397-9700
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 277248 NY Primary

Addresses

Primary practice location

1332 Rockland Ave
Staten Island, NY 10314-4928

Mailing address

2823 Fresno St
Fresno, CA 93721-1324

Other practice location 1

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712001870 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 8921344748 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maimonides Cardiology FPPGroup PAC ID 4688814809, 42 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7735

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
277248NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Cardiology FPP Cardiovascular Disease CurrentSince Jul 1, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 12, 2019 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 12, 2019 Accepting new patients
Wagdy F Girgis MD PC Cardiovascular Disease CurrentSince Sep 8, 2019 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2019 Accepting new patients
Maimonides Medical Center Maimonides Cardiothoracic Surgery Past Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

4802 10th Ave
#4
Brooklyn, NY 11219

4802 10th Ave
Fl 4
Brooklyn, NY 11219
Phone (718) 283-7683

9020 5th Ave
#2
Brooklyn, NY 11209
Phone (718) 283-2600

9020 5th Ave
Brooklyn, NY 11209
Phone (718) 333-5120

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

Networks

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

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: shivaniverma@mai.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1275832677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 ROCKLAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144928",
            "telephone_number": "917-397-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-459-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "SHIVANI",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "277248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.