Organization Active NPI

Ravi Sutaria MD PC

  • Rheumatology Physician
  • Forest Hills, NY
National Provider Identifier
1821799578
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RAVI SUTARIA MD PC
Practice address
11203 Queens Blvd Ste 209
Forest Hills, NY 11375-5550
Phone
(347) 960-7501
Fax
(347) 960-7402
NPI assigned
Mar 10, 2023
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Ravi Bhupatlal Sutaria, MDNPI 1528357852
Title
President
Phone
(347) 960-7501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU

Addresses

Primary practice location

11203 Queens Blvd Ste 209
Forest Hills, NY 11375-5550

Mailing address

20 Carriage CT
Syosset, NY 11791-3045
Phone (347) 960-7501

Other practice location 1

5 Phillips Ln
Lake Grove, NY 11755-2623
Phone (631) 987-6163

National Provider Directory

National Provider Directory
Tax ID family
Ravi Sutaria MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1821799578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CARRIAGE CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913045",
            "telephone_number": "347-960-7501",
            "fax_number": "347-960-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD STE 209",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "347-960-7501",
            "fax_number": "347-960-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Phillips Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Grove",
            "state": "NY",
            "postal_code": "117552623",
            "country_code": "US",
            "telephone_number": "631-987-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAVI SUTARIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "SUTARIA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "BHUPATLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-960-7501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.