Individual provider Active NPI

Amir Sitafalwalla, MD,FACEP

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1407934839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
143513 Issued in NY
Practice address
428 Graham Ave
Brooklyn, NY 11211-1416
Phone
(718) 383-3514
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

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
Emergency Medicine Physician 207P00000X 143513 NY Primary

Addresses

Primary practice location

428 Graham Ave
Brooklyn, NY 11211-1416

Mailing address

15,West Gate Rd
Port Washington, NY 11050-4554
Phone (516) 570-2234

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent'S Midtown Hospital Past Accepting new patients
A & Q Medical Care PLLC Past Accepting new patients
New York Pulmonary & Sleep Medicine Consultant PLLC Past Accepting new patients
Franklin Hospital Past Accepting new patients

Organizations & group practices 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407934839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15,WEST GATE RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504554",
            "telephone_number": "516-570-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111416",
            "telephone_number": "718-383-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITAFALWALLA",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "MD,FACEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "143513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.

Verify at the official NPI Registry.