Organization Active NPI

Vaithilingam Arulthasan MD PC

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1962913459
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
282719 Issued in NY
Legal business name
VAITHILINGAM ARULTHASAN MD PC
Practice address
57 Andes PL
Staten Island, NY 10314-5524
Phone
(347) 466-0724
Fax
(718) 682-1966
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Vaithilingam Arulthasan, MD
Title
President
Phone
(347) 466-0724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 282719 NY Primary

Addresses

Primary practice location

57 Andes PL
Staten Island, NY 10314-5524

Mailing address

57 Andes PL
Staten Island, NY 10314-5524
Phone (347) 466-0724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1962913459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ANDES PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145524",
            "telephone_number": "347-466-0724",
            "fax_number": "718-682-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 ANDES PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145524",
            "telephone_number": "347-466-0724",
            "fax_number": "718-682-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAITHILINGAM ARULTHASAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "ARULTHASAN",
        "authorized_official_first_name": "VAITHILINGAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-466-0724",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "282719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.