NPIMap

Organization Active NPI

Garumuni Anura Desilva, MD PC

  • Nurse Practitioner
  • Syosset, NY
National Provider Identifier
1427793629
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GARUMUNI ANURA DESILVA, MD PC
Practice address
6851 Jericho Tpke Ste 150
Syosset, NY 11791-4462
Phone
(203) 497-3861
Fax
(203) 424-1467
NPI assigned
May 2, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Garumuni DesilvaNPI 1275539892
Title
MD
Phone
(203) 919-0100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

6851 Jericho Tpke Ste 150
Syosset, NY 11791-4462

Mailing address

240 Indian River Rd Ste C
Orange, CT 06477-3649
Phone (203) 497-3861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220809002269 NY Part B Supplier - Clinic/Group Practice 4688056534 Receives reassigned benefits from 16 practitioners
Practice locations: Syosset, NY; Catskill, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1427793629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 INDIAN RIVER RD STE C",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773649",
            "telephone_number": "203-497-3861",
            "fax_number": "203-424-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 JERICHO TPKE STE 150",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914462",
            "telephone_number": "203-497-3861",
            "fax_number": "203-424-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARUMUNI ANURA DESILVA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "GARUMUNI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-919-0100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.