Individual provider Active NPI

Sivaranjani Ramamoorthy, DNP, ANP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Holtsville, NY
National Provider Identifier
1578823118
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403655 Issued in NY
Practice address
99 Gazebo LN
Holtsville, NY 11742-1664
Phone
(347) 921-1742
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306012 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403655 NY Primary

Addresses

Primary practice location

99 Gazebo LN
Holtsville, NY 11742-1664

Mailing address

99 Gazebo LN
Holtsville, NY 11742-1664
Phone (631) 456-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124001602 NY Practitioner - Nurse Practitioner 0244599009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone (718) 896-9090

99 Gazebo LN
Holtsville, NY 11742-1664
Phone (631) 730-7582

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
403655NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Long Island NP in Adult Health PLLC CurrentSince Sep 1, 2021 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

24302 Northern Blvd
Little Neck, NY 11362

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

Interoperability endpoints

  • Direct secure messaging: sivaranjani.ramamoorthy@direct.stonybrookmedicine.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1578823118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GAZEBO LN",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421664",
            "telephone_number": "631-456-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GAZEBO LN",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421664",
            "telephone_number": "347-921-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAMOORTHY",
        "first_name": "SIVARANJANI",
        "credential": "DNP, ANP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306012",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtsville, NY

Sources for this page

Verify at the official NPI Registry.