Individual provider Active NPI

Magery Nagaraja Satish, M.D

  • Child & Adolescent Psychiatry Physician
  • Smithtown, NY
National Provider Identifier
1730228800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
NY193882 Issued in NY
Practice address
99 Hollywood Dr
Smithtown, NY 11787-3135
Phone
(631) 366-5800
Fax
(631) 366-2935
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NY193882 NY Primary

Addresses

Primary practice location

99 Hollywood Dr
Smithtown, NY 11787-3135

Mailing address

8 Robert Cres
Stony Brook, NY 11790-3204
Phone (631) 689-3504

Other identifiers 1

IdentifierTypeStateIssuer
01457510MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000031 NY Practitioner - Psychiatry 9335230531 Practice locations: Setauket, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 S Jersey Ave
Unit 23
Setauket, NY 11733-2036
Phone (631) 246-5031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.31 of 100Reported as individual
Quality
35.38
Improvement activities
40
Cost
86.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NY193882NYMDChild & Adolescent Psychiatry Physician

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730228800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ROBERT CRES",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903204",
            "telephone_number": "631-689-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HOLLYWOOD DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873135",
            "telephone_number": "631-366-5800",
            "fax_number": "631-366-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATISH",
        "first_name": "MAGERY",
        "middle_name": "NAGARAJA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "NY193882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01457510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.