Active NPI
Maduwegedara Ariyasinghe Wickramaaratchi, D.O.
- Family Medicine Physician
- Riverhead, NY
National Provider Identifier
1336179381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 204613
- Practice address
- 300 Center Dr
Riverhead Health Center
Riverhead, NY 11901-3393 - Phone
- (631) 852-1818
- Fax
- (631) 852-3723
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 204613 | NY | Primary |
Addresses
Primary practice location
300 Center Dr
Riverhead Health Center
Riverhead, NY 11901-3393
Mailing address
3 Esplanade Dr
East Patchogue, NY 11772-7905
Phone (631) 758-6773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1805430 | Medicaid | NY |
Other names 1
- Dr. M Ari Wickramaaratchi
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
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Suffolk | Past | Accepting new patients | |
| County of Suffolk | Past | Accepting new patients | |
| Nassau University Health Corporation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Bureau of Public Health Nursing-LTHC
- Home Health Agency
- Great River, NY
- NPI 1497859615
-
dba Bureau of Public Health Nursing - CHHA
- Home Health Agency
- Great River, NY
- NPI 1871506055
-
- General Acute Care Hospital
- East Patchogue, NY
- NPI 1598993370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336179381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ESPLANADE DR",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117727905",
"telephone_number": "631-758-6773",
"fax_number": "631-852-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CENTER DR",
"address_2": "RIVERHEAD HEALTH CENTER",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119013393",
"telephone_number": "631-852-1818",
"fax_number": "631-852-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKRAMAARATCHI",
"first_name": "MADUWEGEDARA",
"middle_name": "ARIYASINGHE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "204613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1805430",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M",
"last_name": "WICKRAMAARATCHI",
"middle_name": "ARI",
"prefix": "DR.",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.