Individual provider Active NPI

Anitha Naduparambil

  • Physician Assistant
  • New York, NY
National Provider Identifier
1881939114
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024730 Issued in NY
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

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
895N17OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
760555765OtherTXUNITED HEALTH CARE
1881939114OtherTXTRICARE

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

LicenseStateTypeSpecialty
024730NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.