Organization Active NPI

Natarajan Elangovan M.D.

  • Psychiatry Physician
  • Staten Island, NY
National Provider Identifier
1396364436
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NATARAJAN ELANGOVAN M.D.
Practice address
1756 Richmond Ave
Staten Island, NY 10314-3902
Phone
(718) 477-5670
NPI assigned
Apr 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Judy Marie Gerdts
Title
Office Manager
Phone
(718) 477-5670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1756 Richmond Ave
Staten Island, NY 10314-3902

Mailing address

1756 Richmond Ave
Staten Island, NY 10314-3902
Phone (718) 477-5670

Other names 1

  • Natarajan Elangovan Physician, P.C. Other name

National Provider Directory

National Provider Directory

Locations

1756 Richmond Ave
Staten Island, NY 10314
Phone (718) 477-5670

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1396364436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143902",
            "telephone_number": "718-477-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143902",
            "telephone_number": "718-477-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATARAJAN ELANGOVAN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "GERDTS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-477-5670"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natarajan Elangovan Physician, P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Natarajan Elangovan Physician, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.