Swayamprabha Sadanandan, M.D.

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

137345 Issued in NY

Practice address

85 Radcliff Ave
Port Washington, NY 11050-1616

Phone

(718) 250-6074

Fax

(718) 250-6518

NPI assigned

May 27, 2006

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

Other identifiers 1

Other names 1

• Swayamprabha Raman Nair Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1306893201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 RADCLIFF AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501616",
            "telephone_number": "718-250-6074",
            "fax_number": "718-250-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RADCLIFF AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501616",
            "telephone_number": "718-250-6074",
            "fax_number": "718-250-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADANANDAN",
        "first_name": "SWAYAMPRABHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "137345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00649752",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SWAYAMPRABHA",
            "last_name": "NAIR",
            "middle_name": "RAMAN",
            "credential": ".M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glen Scott Ruben, DDS
• Eileen Rubin, LCSW
• Ariana Marie Rusoff, MHC-LP
• Rxusapbm, Inc.
• Patricia Dolan Ryan, MD
• Jamie R Sall, LCSW
• Joan Salmon, LMSW
• Tiina Ly Salmre-Joks
• Alisa N Samuels-Stein, PHD
• Savannah Sapodin

• Pediatric Hematology & Oncology Physician in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Pediatric Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.