Active NPI
Magery Nagaraja Satish, M.D
- Child & Adolescent Psychiatry Physician
- Smithtown, NY
National Provider Identifier
1730228800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- NY193882
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01457510 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| NY193882 | NY | MD | Child & Adolescent Psychiatry Physician |
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.