| Kelley Sookraj, | |
|
4 Phyllis Dr Ste B, Patchogue, NY 11772-2900 | |
| (631) 289-4700 | |
| Not Available |
| Full Name | Kelley Sookraj |
|---|---|
| Gender | |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 4 Phyllis Dr Ste B, Patchogue, New York |
| Accepts Medicare Assignments | Yes. accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689852386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 269343 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New York University Langone Medical Center | New york, NY | Hospital |
| St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
| Long Island Community Hospital | Patchogue, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Catherine Of Siena Medical Center | 0941267876 | 70 |
| New York University | 1355232422 | 5027 |
| Entity Name | Nassau Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
| Entity Name | St Catherine Of Siena Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154764819 PECOS PAC ID: 0941267876 Enrollment ID: O20041213000681 |
| Entity Name | Long Island Surgery P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790716546 PECOS PAC ID: 6901816842 Enrollment ID: O20060421000490 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Sookraj, 4 Phyllis Dr Ste B, Patchogue, NY 11772-2900 Ph: (631) 289-4700 | Kelley Sookraj, 4 Phyllis Dr Ste B, Patchogue, NY 11772-2900 Ph: (631) 289-4700 |
Thomas F. Gerold, MD Surgery Medicare: Medicare Enrolled Practice Location: 4 Phyllis Dr Ste B, Patchogue, NY 11772 Phone: 631-289-4700 Fax: 631-289-4718 | |
Badri Nath, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Phyllis Drive, Patchogue, NY 11772 Phone: 631-289-4700 Fax: 631-289-4718 | |
Dr. Gregory Ronald Zielinski, Surgery Medicare: Accepting Medicare Assignments Practice Location: 157 E Woodside Ave, Patchogue, NY 11772 Phone: 631-475-1900 Fax: 631-475-1955 | |
Dr. Stephen H Green, MD Surgery Medicare: Medicare Enrolled Practice Location: 285 Sills Rd, Building 2 Suite A, Patchogue, NY 11772 Phone: 631-475-8846 Fax: 631-475-8860 | |
Trichy Arumugam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Phyllis Dr, Suite B, Patchogue, NY 11772 Phone: 631-289-4700 | |
Dr. Juyeon Park, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-687-2842 | |
Ravi Chandra Pulipati, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Medford Ave, Suite A, Patchogue, NY 11772 Phone: 631-569-5410 Fax: 631-569-5413 |