Srinivasa H Sanjev, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

232440 Issued in NY

Practice address

41 S Middletown Rd
Nanuet, NY 10954

Phone

(845) 624-3020

Fax

(845) 624-2264

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nanuet Family Dentistry

  • General Practice Dentistry
  • Nanuet, NY
  • NPI 1306984794
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477615375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-624-3020",
            "fax_number": "845-624-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-624-3020",
            "fax_number": "845-624-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJEV",
        "first_name": "SRINIVASA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "232440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02645554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Salvatore
• Jaimie Vettichira Samuel, D.O
• Kunjama Samuel, RN
• Stephany Sanchez
• Nihal S Sandhu, MD
• Laura Sanjuan Cantillo
• Linda Sannicandro, RN
• Nicole Savarese
• Thao Scapellato
• Alan Paul Schaffner, DMD

• Pediatrics Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Pediatrics Physician in New York

• 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.