Organization Active NPI

Long Island NP in Adult Health PLLC

  • Primary Care Clinic/Center
  • Holtsville, NY
National Provider Identifier
1851062756
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LONG ISLAND NP IN ADULT HEALTH PLLC
Practice address
99 Gazebo LN
Holtsville, NY 11742-1664
Phone
(631) 730-7382
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Dr. Sivaranjani Ramamoorthy, DNP, ANP-C, PMHNP-BCNPI 1578823118
Title
Nurse Practitioner
Phone
(631) 730-7582

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

99 Gazebo LN
Holtsville, NY 11742-1664

Mailing address

PO Box 74
Holtsville, NY 11742-0074
Phone (631) 730-7582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211004001869 NY Part B Supplier - Clinic/Group Practice 5193123297 Receives reassigned benefits from 1 practitioner
Practice locations: Holtsville, NY

National Provider Directory

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": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1851062756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117420074",
            "telephone_number": "631-730-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GAZEBO LN",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421664",
            "telephone_number": "631-730-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND NP IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "RAMAMOORTHY",
        "authorized_official_first_name": "SIVARANJANI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-730-7582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ANP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.