Individual provider Active NPI

Sarup Girdhari Nariani, M.D,

  • Addiction Medicine (Internal Medicine) Physician
  • Staten Island, NY
National Provider Identifier
1417114307
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
149270 Issued in NY
Practice address
777 Seaview Ave
Suouth Beach Addiction Treatment Center, BLDG.1,2ND FL
Staten Island, NY 10305-3409
Phone
(718) 667-2805
Fax
(718) 667-2773
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 149270 NY
Addiction Medicine (Internal Medicine) Physician 207RA0401X 149270 NY Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 25MA03980800 NJ

Addresses

Primary practice location

777 Seaview Ave
Suouth Beach Addiction Treatment Center, BLDG.1,2ND FL
Staten Island, NY 10305-3409

Mailing address

777 Seaview Ave
Suouth Beach Addiction Treatment Center, BLDG.1,2ND FL
Staten Island, NY 10305-3409
Phone (718) 667-2805

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03980800NJMDAddiction Medicine (Internal Medicine) Physician
149270NYMDAddiction Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1417114307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "address_2": "SUOUTH BEACH ADDICTION TREATMENT CENTER, BLDG.1,2ND FL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-667-2805",
            "fax_number": "718-667-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "address_2": "SUOUTH BEACH ADDICTION TREATMENT CENTER, BLDG.1,2ND FL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-667-2805",
            "fax_number": "718-667-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARIANI",
        "first_name": "SARUP",
        "middle_name": "GIRDHARI",
        "name_prefix": "Mrs.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "149270",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NY",
            "license": "149270",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA03980800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 19, 2008; 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.