Individual provider Active NPI

Siobhan Marion Coomaraswamy, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1962770289
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
181540 Issued in NY
Practice address
295 Central Park W
Suite 3
New York, NY 10024-3008
Phone
(212) 724-6253
Fax
(718) 885-1338
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 181540 NY Primary

Addresses

Primary practice location

295 Central Park W
Suite 3
New York, NY 10024-3008

Mailing address

295 Central Park W
Suite 3
New York, NY 10024-3008
Phone (212) 724-6253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 19, 2019 through Aug 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
181540NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1962770289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 CENTRAL PARK W",
            "address_2": "SUITE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243008",
            "telephone_number": "212-724-6253",
            "fax_number": "718-885-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 CENTRAL PARK W",
            "address_2": "SUITE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243008",
            "telephone_number": "212-724-6253",
            "fax_number": "718-885-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMARASWAMY",
        "first_name": "SIOBHAN",
        "middle_name": "MARION",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "181540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.