Individual provider Active NPI

Ariana Rose Komaroff, NP

  • Family Nurse Practitioner
  • Mamaroneck, NY
National Provider Identifier
1316163025
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334364 Issued in NY
Practice address
1600 Harrison Ave Ste G105-2
Mamaroneck, NY 10543-3145
Phone
(914) 412-6335
Fax
(914) 357-2727
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 512951 NY
Family Nurse Practitioner 363LF0000X 006193 CT
Family Nurse Practitioner 363LF0000X 334364 NY Primary

Addresses

Primary practice location

1600 Harrison Ave Ste G105-2
Mamaroneck, NY 10543-3145

Mailing address

1600 Harrison Ave Ste G105-2
Mamaroneck, NY 10543-3145
Phone (914) 412-6335

Other practice location 1

69 East Ave
Norwalk, CT 06851-4904
Phone (203) 229-2000

Other practice location 2

516 W 168th St
New York, NY 10032-4103
Phone (212) 326-5705

Other identifiers 1

IdentifierTypeStateIssuer
008062989MedicaidCT

Other names 1

  • Ariana Jane Rose Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
512951NYMDLactation Consultant (Registered Nurse)
334364NYMDInternal Medicine Physician
006193CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ariana Komaroff, DNP, Nurse Practitioner in Family Health, P.C. Lactation Consultant CurrentSince Apr 6, 2025 Accepting new patients
The Center for Advanced Pediatrics, P.C PastSince Nov 1, 2023 Accepting new patients

Locations

1600 Harrison Ave
Ste G1052
Mamaroneck, NY 10543
Phone (914) 412-6335

Interoperability endpoints

  • Direct secure messaging: akomaroff@tcfap.pcc-direct.com

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1316163025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE STE G105-2",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "914-412-6335",
            "fax_number": "914-357-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE STE G105-2",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "914-412-6335",
            "fax_number": "914-357-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 East Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068514904",
            "country_code": "US",
            "telephone_number": "203-229-2000",
            "fax_number": "203-840-3153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100324103",
            "country_code": "US",
            "telephone_number": "212-326-5705",
            "fax_number": "212-342-0093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMAROFF",
        "first_name": "ARIANA",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "512951",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "006193",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008062989",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIANA",
            "last_name": "ROSE",
            "middle_name": "JANE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.