NPIMap

Individual provider Active NPI

Sary Mariell Aristy, MD

  • Rheumatology Physician
  • Teaneck, NJ
National Provider Identifier
1922312628
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA09566100 Issued in NJ
Practice address
1415 Queen Anne Rd
Teaneck, NJ 07666-3521
Phone
(201) 837-7788
NPI assigned
Aug 5, 2010
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MA09566100 NJ Primary

Addresses

Primary practice location

1415 Queen Anne Rd
Teaneck, NJ 07666-3521

Mailing address

450 Clarkson Ave
Brooklyn, NY 11203-2012

Other names 1

  • Dr. Sary Mariell Gobaira Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150102001028 NJ Practitioner - Rheumatology 8729301452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates of North JerseyGroup PAC ID 3577583863, 7 clinicians

Practice addresses (Care Compare)

1415 Queen Anne Rd
Teaneck, NJ 07666-3521
Phone (201) 837-7788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
50.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09566100NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of North Jersey Rheumatology CurrentSince Nov 5, 2014 Accepting new patients
Ortho Florida, LLC Past Accepting new patients

Locations

1415 Queen Anne Rd
Teaneck, NJ 07666
Phone (201) 488-4914

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1922312628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663521",
            "telephone_number": "201-837-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISTY",
        "first_name": "SARY",
        "middle_name": "MARIELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA09566100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARY",
            "last_name": "GOBAIRA",
            "middle_name": "MARIELL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.