Sammanasu Prakasam, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

680504 Issued in NY

Practice address

275 Castleton Ave
Staten Island, NY 10301-2709

Phone

(718) 447-5785

NPI assigned

Dec 30, 2013

Last updated

Dec 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1245651744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 LISK AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031779",
            "telephone_number": "718-494-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012709",
            "telephone_number": "718-447-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAKASAM",
        "first_name": "SAMMANASU",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "680504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Powers
• Aleksandra Poznansky
• PPG Anesthesia, PLLC
• Prince Prabhakar, M.D.
• Salvatore Prainito, DO
• Siddharth Prakash, M.D.
• Chanel Pranckevicus
• Jarin Prasa, DO
• Prasanna C Wickremesinghe MD PC
• Mary Prasuna Prasanna Sudhakar, FNP- BC

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.