Individual provider Active NPI

Maryam N/a Karim, M.D.

  • Psychiatry Physician
  • Orangeburg, NY
National Provider Identifier
1831328830
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
268332-1 Issued in NY
Practice address
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone
(845) 680-8865
NPI assigned
Jul 11, 2009
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA09854600 NJ
Psychiatry Physician 2084P0800X 268332-1 NY Primary

Addresses

Primary practice location

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157

Mailing address

140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone (845) 680-8865

Other practice location 1

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2172

Other practice location 2

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-2260

Other names 1

  • Maryam N/a Karimova Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160310001353 NY Practitioner - Psychiatry 6709182173 Reassigns benefits to 1 organization
Practice locations: Pomona, NY
I20160420000209 NJ Practitioner - Psychiatry 6709182173

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
61
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09854600NJMDPsychiatry Physician
268332-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Nyack Hospital CurrentSince Mar 28, 2019 Accepting new patients
Montefiore Nyack Hospital CurrentSince Mar 28, 2019 Accepting new patients

Locations

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

Interoperability endpoints

  • Direct secure messaging: mrakhmatullina191609@ahs.direct-ci.com
  • Direct secure messaging: mrakhmatullina69930@direct.garnethealth.org

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": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1831328830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-680-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621157",
            "telephone_number": "845-680-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 N Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601912",
            "country_code": "US",
            "telephone_number": "845-348-2172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARIM",
        "first_name": "MARYAM",
        "middle_name": "N/A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09854600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "268332-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "KARIMOVA",
            "middle_name": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.