NPIMap

Individual provider Active NPI

Sridevi Lokasubramanian, MD

  • Psychiatry Physician
  • Jamaica Estates, NY
National Provider Identifier
1285022087
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
282002 Issued in NY
Practice address
178-10 Wexford Terrace
Jamaica Estates, NY 11432
Phone
(718) 658-1123
Fax
(718) 658-7091
NPI assigned
Dec 31, 2014
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 282002 NY Primary

Addresses

Primary practice location

178-10 Wexford Terrace
Jamaica Estates, NY 11432

Mailing address

178-10 Wexford Terrace
Jamaica Estates, NY 11432
Phone (718) 658-1123

Other practice location 1

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-7708

Other practice location 2

103-26 68th Road
Forest Hills, NY 11375
Phone (718) 261-3330 ext. 325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170405001424 NY Practitioner - Psychiatry 3971889973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

Glen Oaks, NY 11004
Phone (561) 542-9390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
282002NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Advanced Center for Psychotherapy, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Geisinger Clinic CurrentSince Jul 19, 2022 Accepting new patients
Queens Nassau Psychiatric Services PLLC Psychiatry PastSince Apr 1, 2021 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: slokasubramanian19423@direct.medisys.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1285022087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178-10 WEXFORD TERRACE",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-658-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178-10 WEXFORD TERRACE",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-658-1123",
            "fax_number": "718-658-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Van Wyck Expy",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114182832",
            "country_code": "US",
            "telephone_number": "718-206-7708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103-26 68th Road",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "11375",
            "country_code": "US",
            "telephone_number": "718-261-3330 x325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOKASUBRAMANIAN",
        "first_name": "SRIDEVI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "282002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Estates, NY

Sources for this page

Verify at the official NPI Registry.