Nina Sivadasan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

271342 Issued in NY

Practice address

30-30 47TH Ave
Office of School Health- the Factory
Long Island City, NY 11101

Phone

(646) 946-0424

NPI assigned

Jul 16, 2008

Last updated

Mar 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1629232814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-30 47TH AVE",
            "address_2": "OFFICE OF SCHOOL HEALTH- THE FACTORY",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-30 47TH AVE",
            "address_2": "OFFICE OF SCHOOL HEALTH- THE FACTORY",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "646-946-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 A St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341043",
            "country_code": "US",
            "telephone_number": "215-427-4719",
            "fax_number": "215-427-4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVADASAN",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT192994",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "271342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Indira Singh, RN
• Lauren Singletary
• Arthur Sionov
• Nicole Ashley Sirotin, M.D.
• Nicole Sisenwein, LMSW
• Margaret Skasilas, LCSW
• Tomasz Skiba, PSY.D
• Danielle Skinner
• Precious Skinner
• Rain Haile Skinner

• Pediatrics Physician in Long Island City, NY
• Providers in Long Island City, 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 Mar 19, 2021; 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.