Individual provider Active NPI

Rammiya Nallainathan, MD

  • Pediatrics Physician
  • Astoria, NY
National Provider Identifier
1891158234
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
299434 Issued in NY
Practice address
2325 31St St Ste 302
Astoria, NY 11105-2298
Phone
(516) 321-3627
NPI assigned
Apr 2, 2016
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 299434 NY Primary

Addresses

Primary practice location

2325 31St St Ste 302
Astoria, NY 11105-2298

Mailing address

20014 44TH Ave
Bayside, NY 11361-2510
Phone (718) 224-3000

Other practice location 1

20014 44th Ave
Bayside, NY 11361
Phone (718) 224-3000

Other practice location 2

20014 44th Ave
Bayside, NY 11361
Phone (718) 224-3000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903002210 NY Practitioner - Pediatric Medicine 2163751041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 21, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 21, 2019 Accepting new patients

Locations

2325 31st St
Ste 302
Astoria, NY 11105
Phone (516) 321-3627

20014 44th Ave
Flushing, NY 11361
Phone (718) 224-3000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rnallainathan67825@northwell.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1891158234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20014 44TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612510",
            "telephone_number": "718-224-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 31ST ST STE 302",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052298",
            "telephone_number": "516-321-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20014 44th Ave",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "11361",
            "country_code": "US",
            "telephone_number": "718-224-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20014 44th Ave",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "11361",
            "country_code": "US",
            "telephone_number": "718-224-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NALLAINATHAN",
        "first_name": "RAMMIYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "299434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.