Mariamma Komadathu Baby, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

342281 Issued in NY

Practice address

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Phone

(845) 680-8500

NPI assigned

Sep 20, 2017

Last updated

Sep 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1730698986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 ROUTE 340",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761410",
            "telephone_number": "845-365-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-680-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABY",
        "first_name": "MARIAMMA",
        "middle_name": "KOMADATHU",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Ira Aronson, DDS
• Eiman Atia
• Martine Augustin
• Joseph Avallone, LCSW
• Ayman Z. Matta, M.D., P.C. (New York Eye Institute)
• Catherine Badillo, RN,GNP-BC, CWOCN
• Rajan K Baranwal, LMSW
• Farnaz Bararaky, MD
• Nigel Martyn Bark, MD
• Lesia U Batorfalvy, D.M.D.

• Family Nurse Practitioner in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.