Active NPI
Anitha Naduparambil
- Physician Assistant
- New York, NY
National Provider Identifier
1881939114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024730
- Practice address
- 2398 Broadway
New York, NY 10024-1703 - Phone
- (516) 453-0435
- NPI assigned
- Nov 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 024730 | NY | Primary |
Addresses
Primary practice location
2398 Broadway
New York, NY 10024-1703
Mailing address
1807 Cambria LN
Sugar Land, TX 77479-5766
Phone (281) 494-9798
Other practice location 1
26777 Agoura Rd # 4
Calabasas, CA 91302-2967
Phone (818) 880-2225
Other practice location 2
952 2nd Ave
New York, NY 10022-7857
Phone (212) 271-4864
Other practice location 3
1807 Cambria Ln
Sugar Land, TX 77479-5766
Phone (281) 494-9798
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 895N17 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| 760555765 | Other | TX | UNITED HEALTH CARE |
| 1881939114 | Other | TX | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024730 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Physician Assistant | Past | Accepting new patients |
| Summit Medical Group PA | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Physician Assistant
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1881939114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 CAMBRIA LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795766",
"telephone_number": "281-494-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2398 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241703",
"telephone_number": "516-453-0435"
}
],
"practiceLocations": [
{
"address_1": "26777 Agoura Rd # 4",
"address_purpose": "LOCATION",
"city": "Calabasas",
"state": "CA",
"postal_code": "913022967",
"country_code": "US",
"telephone_number": "818-880-2225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "952 2nd Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100227857",
"country_code": "US",
"telephone_number": "212-271-4864",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1807 Cambria Ln",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774795766",
"country_code": "US",
"telephone_number": "281-494-9798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NADUPARAMBIL",
"first_name": "ANITHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "024730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "895N17",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "760555765",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1881939114",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.