Mary Prasuna Prasanna Sudhakar, FNP- BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F342723-1 Issued in NY

Practice address

88 Old Town Rd
Staten Island, NY 10304-4212

Phone

(917) 816-1700

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1245721141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 OLD TOWN RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044212",
            "telephone_number": "917-816-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OLD TOWN RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044212",
            "telephone_number": "917-816-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASANNA SUDHAKAR",
        "first_name": "MARY",
        "middle_name": "PRASUNA",
        "name_prefix": "Mrs.",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141707",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342723-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mprasannasudhakar1112520@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765082332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sammanasu Prakasam, RN
• Siddharth Prakash, M.D.
• Chanel Pranckevicus
• Jarin Prasa, DO
• Prasanna C Wickremesinghe MD PC
• Aleksandra Prasolova, RN
• Miriam Prat Jerez, LMHC
• Miriam M Pratt, M.S.
• Barbara Pravato, MSE
• Desiree Pravato

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.