Individual provider Active NPI

James Gaetan Mariadason, MD

  • Surgery Physician
  • New York, NY
National Provider Identifier
1366526667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
150217 Issued in NY
Practice address
1901 1St Ave
Department of Surgery,Metropolitan Hospital
New York, NY 10029-7404
Phone
(212) 423-6614
Fax
(212) 423-7913
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 150217 NY Primary

Addresses

Primary practice location

1901 1St Ave
Department of Surgery,Metropolitan Hospital
New York, NY 10029-7404

Mailing address

401 E 86TH St
Apt 5J
New York, NY 10028-6403
Phone (212) 600-0455

Other identifiers 1

IdentifierTypeStateIssuer
01037443MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

Interoperability endpoints

  • Direct secure messaging: jmariadason839700@nychhc.direct-ci.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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366526667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 86TH ST",
            "address_2": "APT 5J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286403",
            "telephone_number": "212-600-0455",
            "fax_number": "212-600-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "address_2": "DEPARTMENT OF SURGERY,METROPOLITAN HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-6614",
            "fax_number": "212-423-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIADASON",
        "first_name": "JAMES",
        "middle_name": "GAETAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "150217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01037443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.