Individual provider Active NPI

Sujani Varma

  • Physical Medicine & Rehabilitation Physician
  • Dix Hills, NY
National Provider Identifier
1558430645
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
241749 Issued in NY
Practice address
14 Sturbridge LN
Dix Hills, NY 11746-5015
Phone
(516) 728-4603
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 241749 NY Primary

Addresses

Primary practice location

14 Sturbridge LN
Dix Hills, NY 11746-5015

Mailing address

14 Sturbridge LN
Dix Hills, NY 11746-5015
Phone (516) 728-4603

Other names 1

  • Sujani Raju Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070502000245 NY Practitioner - Physical Medicine and Rehabilitation 6305942756 Practice locations: Oakdale, NY; Patchogue, NY; Woodbury, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241749NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1558430645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 STURBRIDGE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465015",
            "telephone_number": "516-728-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 STURBRIDGE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465015",
            "telephone_number": "516-728-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARMA",
        "first_name": "SUJANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "241749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUJANI",
            "last_name": "RAJU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.