Active NPI
Amanda I Sukhu, DO
- Psychiatry Physician
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 324130
- Practice address
- 905 E Main St
Riverhead, NY 11901-2613 - Phone
- (631) 632-2428
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT017943 | PA | |
| Psychiatry Physician | 2084P0800X | 324130 | NY | Primary |
Addresses
Primary practice location
905 E Main St
Riverhead, NY 11901-2613
Mailing address
169 Putnam Hall Building C
Stony Brook, NY 11794-8515
Phone (631) 632-2428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2990
169 Putnam Hall
South Campus
Stony Brook, NY 11794-8790
Phone (631) 632-8850
201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-1000
Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT017943 | PA | MD | Family Medicine Physician |
| 324130 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Psychiatric Associates, University Faculty Practice Corpor | Psychiatry | Current | Accepting new patients |
| Stony Brook Family and Preventive Medicine, University Faculty Practic | Family Medicine | Past | Accepting new patients |
| University Hospital at Stony Brook | Past | Accepting new patients | |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
169 Putnam Hall
Bldg C
Stony Brook, NY 11794
169 Putnam Hall
Stony Brook, NY 11794
Phone (631) 632-8850
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Stony Brook, NY
- NPI 1437105905
-
- Family Medicine Physician
- Stony Brook, NY
- NPI 1982659470
-
- Land Ambulance
- Stony Brook, NY
- NPI 1306620588
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1023538865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 PUTNAM HALL BUILDING C",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948515",
"telephone_number": "631-632-2428",
"fax_number": "814-226-3478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012613",
"telephone_number": "631-632-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKHU",
"first_name": "AMANDA",
"middle_name": "I",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT017943",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "324130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.