NPIMap

Individual provider Active NPI

Larab Latif Giniyani, DO

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1558865212
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
310987 Issued in NY
Practice address
10 Union SQ E
New York, NY 10003-3314
Phone
(212) 420-4070
NPI assigned
Mar 19, 2018
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 310987 NY
Nephrology Physician 207RN0300X 310987 NY Primary
Hospitalist Physician 208M00000X 310987 NY

Addresses

Primary practice location

10 Union SQ E
New York, NY 10003-3314

Mailing address

East 16TH Street and 1St Avenue
New York, NY 10003
Phone (212) 420-2000

Other practice location 1

First Avenue at 16TH Street
New York, NY 10003
Phone (212) 420-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303000722 NY Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 8426394727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians

Practice addresses (Care Compare)

2510 30TH Ave
Astoria, NY 11102-2448
Phone (718) 932-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
310987NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Nephrology CurrentSince Aug 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 18, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 1, 2021 Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119

16 1st Ave
New York, NY 10009
Phone (212) 420-4191

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

11710 Hillside Ave
Richmond Hill, NY 11418
Phone (718) 297-0440

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1558865212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EAST 16TH STREET AND 1ST AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-420-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "FIRST AVENUE AT 16TH STREET",
            "address_purpose": "LOCATION",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "country_code": "US",
            "telephone_number": "212-420-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINIYANI",
        "first_name": "LARAB",
        "middle_name": "LATIF",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "310987",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "310987",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "310987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.