Individual provider Active NPI

Sneha Maru, MD

  • Internal Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1710341821
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
311599-01 Issued in NY
Practice address
3433 Junction Blvd FL 2
Jackson Heights, NY 11372-3828
Phone
(718) 396-5134
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 311599-01 NY Primary

Addresses

Primary practice location

3433 Junction Blvd FL 2
Jackson Heights, NY 11372-3828

Mailing address

4209 28TH St # CN-48
Long Island City, NY 11101-4130
Phone (347) 396-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230424002679 NY Practitioner - Internal Medicine 9638534704 Reassigns benefits to 1 organization
I20260129001061 NJ Practitioner - Internal Medicine 9638534704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

295 Flatbush Ave Ext
Brooklyn, NY 11201-3001
Phone (212) 566-3587

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311599-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of New York Office of Payroll Administration CurrentSince Jan 18, 2023 Accepting new patients
University Physician Associates of New Jersey Inc Internal Medicine CurrentSince Dec 13, 2025 Accepting new patients
City of New York Office of Payroll Administration Current Accepting new patients
City of New York Office of Payroll Administration CurrentSince Jan 18, 2023 Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
University Physician Associates of New Jersey Inc Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

225 Warren St
Fl 1
Newark, NJ 07103
Phone (973) 972-0974

1218 Prospect Pl
#M
Brooklyn, NY 11213
Phone (718) 953-8208

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

3433 Junction Blvd
Fl 2
Jackson Heights, NY 11372
Phone (718) 396-5134

9037 Parsons Blvd
Jamaica, NY 11432
Phone (718) 262-5521

4209 28th St
#15111
Long Island City, NY 11101
Phone (347) 396-4853

4209 28th St
#48
Long Island City, NY 11101
Phone (347) 396-6234

4209 28th St
#17
Long Island City, NY 11101
Phone (347) 396-2686

600 W 168th St
New York, NY 10032
Phone (212) 566-3587

2238 5th Ave
New York, NY 10037
Phone (646) 698-4405

Organizations & group practices 9

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1710341821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 28TH ST # CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014130",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 JUNCTION BLVD FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723828",
            "telephone_number": "718-396-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARU",
        "first_name": "SNEHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-04-02",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "311599-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.