Individual provider Active NPI

Aruna S Agni, M.D.

  • Psychiatry Physician
  • Staten Island, NY
National Provider Identifier
1801917786
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
133790 Issued in NY
Practice address
657 Castleton Ave
Staten Island, NY 10301-2028
Phone
(718) 448-9775
Fax
(718) 448-6072
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 133790 NY Primary

Addresses

Primary practice location

657 Castleton Ave
Staten Island, NY 10301-2028

Mailing address

215 Coverly Ave
Staten Island, NY 10301-4601
Phone (718) 448-9775

Other identifiers 1

IdentifierTypeStateIssuer
133790MedicaidNY

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
I20120712000578 NY Practitioner - Psychiatry 8820253024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133790NYMDPsychiatry Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Associations of New York State, Inc. Current Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Amboy Medical Practice PC CurrentSince Apr 1, 2016 Accepting new patients
Amboy Medical Practice PC Psychiatry CurrentSince Apr 1, 2016 Accepting new patients
Metro Community Health Centers, Inc. CurrentSince Jul 1, 2014 Accepting new patients

Locations

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

669 Castleton Ave
Staten Island, NY 10301
Phone (718) 442-2225

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

5140 59th St
Woodside, NY 11377
Phone (718) 639-2931

Networks

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

Interoperability endpoints

  • Direct secure messaging: aruna.agni@metrochc.eclinicaldirectplus.com

Organizations & group practices 5

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1801917786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COVERLY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014601",
            "telephone_number": "718-448-9775",
            "fax_number": "718-448-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012028",
            "telephone_number": "718-448-9775",
            "fax_number": "718-448-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNI",
        "first_name": "ARUNA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "133790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133790",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.