Individual provider Active NPI

Anuradha Naram, MD

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1770826174
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0010547 Issued in DE
Practice address
1235 Linden Boulevard
Bristol Family Care Center
Brooklyn, NY 11212
Phone
(718) 240-5071
Fax
(718) 240-5808
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C1-0010547 DE Primary

Addresses

Primary practice location

1235 Linden Boulevard
Bristol Family Care Center
Brooklyn, NY 11212

Mailing address

1 Brookdale Plaza
Physician Enterprise
Brooklyn, NY 11212
Phone (718) 240-7143

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
I20181030000674 NY Practitioner - Pediatric Medicine 1951654581 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0010547DEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. Pediatrics CurrentSince Jul 12, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 20, 2018 Accepting new patients
Brookdale Family Care Center, Inc. Pediatrics Current Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Sep 20, 2018 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Sep 20, 2018 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1235 Linden Blvd
Brooklyn, NY 11212
Phone (718) 240-5071

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: anuradhanaram@mai.allscriptsdirect.net

Organizations & group practices 7

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1770826174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLAZA",
            "address_2": "PHYSICIAN ENTERPRISE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-7143",
            "fax_number": "718-240-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LINDEN BOULEVARD",
            "address_2": "BRISTOL FAMILY CARE CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11212",
            "telephone_number": "718-240-5071",
            "fax_number": "718-240-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAM",
        "first_name": "ANURADHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0010547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.