Active NPI
Aruna S Agni, M.D.
- Psychiatry Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 133790
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133790 | 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 |
|---|---|---|---|---|
| I20120712000578 | NY | Practitioner - Psychiatry | 8820253024 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 71.48 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 133790 | NY | MD | Psychiatry Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Associations of New York State, Inc. | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Psychiatry | Current | Accepting new patients |
| Metro Community Health Centers, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
NY, Psychiatry
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1841536554
NY
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1649837113
-
- Clinic/Center
- Bronx, NY
- NPI 1366507758
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.