Active NPI
Amrita Srivastava, MD
- Endocrinology, Diabetes & Metabolism Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 221415
- Practice address
- 506 6TH Street
Brooklyn, NY 11215 - Phone
- (718) 246-8600
- Fax
- (718) 246-8601
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 221415 | NY | Primary |
Addresses
Primary practice location
506 6TH Street
Brooklyn, NY 11215
Mailing address
PO Box 7490
Shrewsbury, NJ 07702-7490
Phone (718) 780-5246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02801430 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2112 Middle Country Rd
Centereach, NY 11720-3519
Phone (631) 468-6900
Hospital & facility affiliations
- St Charles Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 72.13
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Park Slope Medicine, P.C. | Past | Accepting new patients |
Locations
2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463
75 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 686-2575
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
3279 Veterans Memorial Hwy
Ste D3
Ronkonkoma, NY 11779
Phone (855) 908-8989
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- asrivastava97341@direct-chsli.net
Organizations & group practices 5
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.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Family Medicine Physician
- Bellmore, NY
- NPI 1720334527
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1215989116
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1700996071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7490",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077027490",
"telephone_number": "718-780-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-246-8600",
"fax_number": "718-246-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIVASTAVA",
"first_name": "AMRITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "221415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02801430",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.