Rahul Subramanian Iyer

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

405648 Issued in NY

Practice address

1869 Brentwood Rd
Brentwood, NY 11717-4625

Phone

(844) 400-1975

NPI assigned

Oct 21, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Stony Brook Psychiatric Associates, University Faculty Practice Corpor

  • Psychiatry Physician
  • Stony Brook, NY
  • NPI 1437105905
  Medicare reassignment
• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1083581250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174625",
            "telephone_number": "844-400-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Middle Country Rd",
            "address_purpose": "LOCATION",
            "city": "Coram",
            "state": "NY",
            "postal_code": "117274460",
            "country_code": "US",
            "telephone_number": "844-400-1975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117721758",
            "country_code": "US",
            "telephone_number": "844-400-1975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1556 Straight Path",
            "address_purpose": "LOCATION",
            "city": "Wyandanch",
            "state": "NY",
            "postal_code": "117983213",
            "country_code": "US",
            "telephone_number": "844-400-1975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYER",
        "first_name": "RAHUL",
        "middle_name": "SUBRAMANIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iqbal & Devendra Gill PC
• Syed Iqbal, PHARMD
• Juan Irizarri Santos
• Mia Ivancovich
• Sheree Ivey, REGISTERED NURSE
• J & M Companion Services LLC
• Lavaniesha Jackson Goode
• Ashley Marie Jackson
• Janet I Jackson
• Minyelle Jackson, LPN

• Psychiatric/Mental Health Nurse Practitioner in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.

Verify at the official NPI Registry.