Individual provider Active NPI

Kiran Sarojini Srivastava, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1841186244
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
150 E 77TH St Ofc 1D
New York, NY 10075-1922
Phone
(877) 703-3775
Fax
(212) 867-3787
NPI assigned
Jun 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

150 E 77TH St Ofc 1D
New York, NY 10075-1922

Mailing address

150 E 77TH St Ofc 1D
New York, NY 10075-1922
Phone (877) 703-3775

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
I20251028000640 NY Practitioner - Physician Assistant 3870082142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Philip Rabito MD PCGroup PAC ID 3577734193, 2 clinicians

Practice addresses (Care Compare)

150 E 77TH St
Ofc 1D
New York, NY 10075-1922
Phone (877) 703-3775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034065NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip Rabito MD PC CurrentSince Oct 20, 2025 Accepting new patients
George a Falk MD PC PastSince Jun 15, 2025 Accepting new patients

Locations

150 E 77th St
Ofc 1D
New York, NY 10075
Phone (212) 452-9661

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1841186244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 77TH ST OFC 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751922",
            "telephone_number": "877-703-3775",
            "fax_number": "212-867-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 77TH ST OFC 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751922",
            "telephone_number": "877-703-3775",
            "fax_number": "212-867-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "KIRAN",
        "middle_name": "SAROJINI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.