Active NPI
Saverimuttu Medical PC
- Infectious Disease Physician
- Staten Island, NY
National Provider Identifier
1649520685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- SAVERIMUTTU MEDICAL PC
- Practice address
- 2435 Victory Blvd
Staten Island, NY 10314-6633 - Phone
- (646) 275-4334
- NPI assigned
- Sep 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessie K Saverimuttu, M.D
- Title
- Managing Director
- Phone
- (646) 417-0747
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
2435 Victory Blvd
Staten Island, NY 10314-6633
Mailing address
398 Gower St
Staten Island
Staten Island, NY 10314-5333
Phone (646) 275-4334
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SEIU142177 | Other | SEIU | |
| 03179884 | Medicaid | NY | |
| 1750734 | Other | GHI | |
| 060QHI | Other | BLUE CROSS BLUESHIELD | |
| 9235428 | Other | ADENA | |
| 3125050 | Other | UNITED HEALTH CARE | |
| 5190872 | Other | CIGNA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Staten Island, NY
- NPI 1457521890
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1285635565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347926400000",
"number": "1649520685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 GOWER ST",
"address_2": "STATEN ISLAND",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145333",
"telephone_number": "646-275-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146633",
"telephone_number": "646-275-4334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVERIMUTTU MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A",
"authorized_official_last_name": "SAVERIMUTTU",
"authorized_official_first_name": "JESSIE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "646-417-0747",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SEIU",
"identifier": "SEIU142177",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03179884",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1750734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUESHIELD",
"identifier": "060QHI",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADENA",
"identifier": "9235428",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "3125050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5190872",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.