Individual provider Active NPI

Sarita Duchatelier, MD

  • Pediatrics Physician
  • Babylon, NY
National Provider Identifier
1295736262
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
198031 Issued in NY
Practice address
655 Deer Park Ave
Babylon, NY 11702-1314
Phone
(631) 321-2100
Fax
(631) 321-2246
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 198031 NY Primary

Addresses

Primary practice location

655 Deer Park Ave
Babylon, NY 11702-1314

Mailing address

655 Deer Park Ave
Babylon, NY 11702-1314
Phone (631) 321-2100

Other identifiers 1

IdentifierTypeStateIssuer
01880684MedicaidNY

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
I20180418000265 NY Practitioner - Pediatric Medicine 5597028993 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pediatric Services, P.C. Pediatrics CurrentSince Mar 1, 2018 Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

655 Deer Park Ave
Babylon, NY 11702
Phone (631) 321-2100

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

Networks

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

Interoperability endpoints

  • Direct secure messaging: sduchatelier40855@direct-chsli.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1295736262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-321-2100",
            "fax_number": "631-321-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-321-2100",
            "fax_number": "631-321-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHATELIER",
        "first_name": "SARITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "198031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.