Sangeetha Madhu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F406793 Issued in NY

Practice address

33 Fulton St
Deer Park, NY 11729-1616

Phone

(516) 416-1670

Fax

(516) 416-1670

NPI assigned

Feb 25, 2025

Sex

Female

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Park Medical Health PCGroup PAC ID 3577085901, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willow Park Medical Health PC

  • Multi-Specialty Clinic/Center
  • Glen Head, NY
  • NPI 1063219475
  Medicare reassignment Care Compare group NPD
• Sehwan Medical Care PLLC

  • Psychiatry Physician
  • Yonkers, NY
  • NPI 1598537250
  Medicare reassignment NPD
• Stony Brook Psychiatric Associates, University Faculty Practice Corpor

  • Psychiatry Physician
  • Stony Brook, NY
  • NPI 1437105905
  Medicare reassignment
• Willow Park Academy LLC

  • Behavior Analyst
  • Stamford, CT
  • NPI 1376407783
  NPD (past)

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1215734645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FULTON ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291616",
            "telephone_number": "516-416-1670",
            "fax_number": "516-416-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 FULTON ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291616",
            "telephone_number": "516-416-1670",
            "fax_number": "516-416-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHU",
        "first_name": "SANGEETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F406793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lucks, LMSW
• Luxottica of America Inc
• Luxottica Retail North America Inc
• Mac Travels Nyc LLC
• Joan Therese Mackey, P.T.
• Sara Naz Mahmud, MSN, APRN, PMHNP-BC
• Jenell Marie Maitre, NURSE
• Venel Maitre
• Chemin Marie Malone, NP
• Mancini Physical Therapy, PC

• Psychiatric/Mental Health Nurse Practitioner in Deer Park, NY
• Providers in Deer Park, 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 Feb 25, 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.