Individual provider Active NPI

Suraiya Chowdhury

  • Family Nurse Practitioner
  • Merrick, NY
National Provider Identifier
1386227775
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347412 Issued in NY
Practice address
2291 Merrick Rd
Merrick, NY 11566-4756
Phone
(347) 809-0201
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021000169 NY
Family Nurse Practitioner 363LF0000X 347412 NY Primary

Addresses

Primary practice location

2291 Merrick Rd
Merrick, NY 11566-4756

Mailing address

105 Saint Marks PL
Massapequa, NY 11758-7044
Phone (347) 809-0201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021000169NYMDFamily Nurse Practitioner
347412NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Urgent & Walk in Medical Care PLLC CurrentSince Nov 15, 2022 Accepting new patients
Hicksville Family Medical Care, PLLC Past Accepting new patients

Locations

232 W Old Country Rd
Hicksville, NY 11801
Phone (347) 808-8830

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1386227775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SAINT MARKS PL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587044",
            "telephone_number": "347-809-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664756",
            "telephone_number": "347-809-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "SURAIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2021000169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.