Active NPI
Syamala Mohan, RN
- Registered Nurse
- Lindenhurst, NY
National Provider Identifier
1285903104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 505124-1
- Practice address
- 423 -47 St.
Lindenhurst, NY 11757-1928 - Phone
- (631) 412-3058
- Fax
- (631) 412-3058
- NPI assigned
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 505124-1 | NY | Primary |
Addresses
Primary practice location
423 -47 St.
Lindenhurst, NY 11757-1928
Mailing address
423-47 Street
Lindenhurst, NY 11757
Phone (631) 412-3058
Other names 1
- Miss Syamalakumari Kuttappannair
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 505124-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1285903104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423-47 STREET",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "11757",
"telephone_number": "631-412-3058",
"fax_number": "631-412-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 -47 ST.",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117571928",
"telephone_number": "631-412-3058",
"fax_number": "631-412-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "SYAMALA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "505124-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SYAMALAKUMARI",
"last_name": "KUTTAPPANNAIR",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.