Sathyanarayanan Venkataraman, NUTRITIONIST, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004990 Issued in NY

Practice address

423 Grace CT
Holbrook, NY 11741-2913

Phone

(631) 278-1960

NPI assigned

Jul 8, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1891136875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 GRACE CT",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412913",
            "telephone_number": "631-278-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 GRACE CT",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412913",
            "telephone_number": "631-278-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATARAMAN",
        "first_name": "SATHYANARAYANAN",
        "name_prefix": "Mr.",
        "credential": "NUTRITIONIST, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Valsechi
• Alexander Vamos, L.AC
• Victoria Vamos, NP
• Christine Alicia Van Allen, LMSW
• Paul M Vassa, D.C.
• Lisa Michelle Ventimiglia, LCSW
• Alexis Vera
• Niki Marie Vescio, LMHC
• Victoria Vamos, Nurse Practitioner in Family Health, P.C.
• Sarah Vignola, DDS

• Acupuncturist in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.