| Suja S Johnkutty, MD | |
|
33 Walt Whitman Road, Suite 201, Huntington Station, NY 11746-4276 | |
| (631) 385-8558 | |
| (631) 385-8010 |
| Full Name | Suja S Johnkutty |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 33 Walt Whitman Road, Huntington Station, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134227739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01093143A (Indiana) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 216285 (New York) | Primary |
| Entity Name | Newyork-presbyterian-queens |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960962 PECOS PAC ID: 7315839933 Enrollment ID: O20040329000273 |
| 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 |
| Entity Name | New York Queens Medicine And Surgery, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
| Entity Name | On Demand Neurology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265016174 PECOS PAC ID: 5890180988 Enrollment ID: O20230907003653 |
| Mailing Address | Practice Location Address |
|---|---|
| Suja S Johnkutty, MD P.o. Box 224, Old Bethpage, NY 11804-0224 Ph: (631) 385-8558 | Suja S Johnkutty, MD 33 Walt Whitman Road, Suite 201, Huntington Station, NY 11746-4276 Ph: (631) 385-8558 |
Dr. Juliana Kanji, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 110 Walt Whitman Rd Ste 207, Huntington Station, NY 11746 Phone: 631-470-4005 Fax: 631-784-7748 | |
Robert John Edleman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 33 Walt Whitman Rd, Suite #236, Huntington Station, NY 11746 Phone: 631-424-6949 Fax: 631-421-9216 | |
Dr. Chris Anthony Karampahtsis, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 33 Walt Whitman Rd Ste 217w, Huntington Station, NY 11746 Phone: 631-252-5368 Fax: 888-506-5997 | |
Dr. Talha Ali Siddiqui, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1395 New York Ave, Huntington Station, NY 11746 Phone: 631-385-5650 | |
Andres Gonzalez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 180 E Pulaski Rd, Huntington Station, NY 11746 Phone: 631-425-2121 Fax: 631-425-2193 |