Individual provider Active NPI

Sainu Joby

  • Family Nurse Practitioner
  • Congers, NY
National Provider Identifier
1780274605
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347045 Issued in NY
Practice address
139 New York Ave
Congers, NY 10920-2824
Phone
(845) 270-1916
NPI assigned
Jan 25, 2021
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347045 NY Primary

Addresses

Primary practice location

139 New York Ave
Congers, NY 10920-2824

Mailing address

139 New York Ave
Congers, NY 10920-2824
Phone (845) 270-1916

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321001190 NY Practitioner - Nurse Practitioner 4183098809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F347045NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Medical Associates, PC Current Accepting new patients
Lawrence Medical Associates, PC CurrentSince Mar 13, 2023 Accepting new patients

Locations

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

1329 Boston Post Rd
Larchmont, NY 10538
Phone (914) 833-9121

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Interoperability endpoints

  • Direct secure messaging: sjoby@stjohnsmedicalpc.directmedgenehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1780274605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 NEW YORK AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109202824",
            "telephone_number": "845-270-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NEW YORK AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109202824",
            "telephone_number": "845-270-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBY",
        "first_name": "SAINU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Congers, NY

Sources for this page

Verify at the official NPI Registry.