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VIMALA SIVARAMAN
NPI 1831561687
Surgery in Port Jefferson, NY

Active since October 20, 2015
1 VANTAGE CT, PORT JEFFERSON, NY 11777(631) 331-2422 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vimala Sivaraman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIMALA SIVARAMAN (NPI 1831561687) is an individual surgery provider in Port Jefferson, New York, licensed in New York (173991-1) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1831561687
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameVIMALA SIVARAMAN
Location Address1 VANTAGE CTPort Jefferson, NY 11777-2237
Mailing AddressPo Box 638Port Jefferson, NY 11777-0638 · (631) 331-2422
Phone(631) 331-2422
Sole ProprietorYes
Enumeration DateOctober 20, 2015
✔ NPI 1831561687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 173991-1
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1 VANTAGE CT, Port Jefferson, NY 11777
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vimala Sivaraman's NPI number?

The NPI number for Vimala Sivaraman is 1831561687. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Vimala Sivaraman located?

Vimala Sivaraman practices at 1 Vantage Ct, Port Jefferson, NY 11777. The listed phone number is (631) 331-2422.

What is Vimala Sivaraman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Vimala Sivaraman was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.