Organization Active NPI

Satya Medical Associate PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Hartsdale, NY
National Provider Identifier
1427455872
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
234509 Issued in NY
Legal business name
SATYA MEDICAL ASSOCIATE PLLC
Practice address
10 Dunham Rd
Hartsdale, NY 10530-1213
Phone
(732) 979-3004
NPI assigned
Dec 1, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Rajasekhar BuddhavarapuNPI 1013971498
Title
Owner
Phone
(732) 979-3004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 234509 NY Primary

Addresses

Primary practice location

10 Dunham Rd
Hartsdale, NY 10530-1213

Mailing address

10 Dunham Rd
Hartsdale, NY 10530-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150217000340 NY Part B Supplier - Clinic/Group Practice 0244555175 Receives reassigned benefits from 2 practitioners
Practice locations: Hartsdale, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1427455872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DUNHAM RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DUNHAM RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301213",
            "telephone_number": "732-979-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATYA MEDICAL ASSOCIATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "BUDDHAVARAPU",
        "authorized_official_first_name": "RAJASEKHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-979-3004"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "234509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.