Organization Active NPI

Suja Johnkutty, M.D., P.L.L.C.

  • Neurology Physician
  • Huntington Station, NY
National Provider Identifier
1700098852
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
216285 Issued in NY
Legal business name
SUJA JOHNKUTTY, M.D., P.L.L.C.
Practice address
33 Walt Whitman Road
Suite 201
Huntington Station, NY 11746-4276
Phone
(631) 385-8558
Fax
(631) 385-8010
NPI assigned
May 3, 2007
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Suja Johnkutty, M.D.NPI 1134227739
Title
Physician
Phone
(631) 385-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X
Neurology Physician 2084N0400X 216285 NY Primary

Addresses

Primary practice location

33 Walt Whitman Road
Suite 201
Huntington Station, NY 11746-4276

Mailing address

P.O. Box 224
Old Bethpage, NY 11804-0224
Phone (631) 385-8558

National Provider Directory

National Provider Directory

Locations

634 Park Ave
Huntington, NY 11743
Phone (631) 377-5045

33 Walt Whitman Rd
Ste 201
Huntington Station, NY 11746
Phone (631) 271-7206

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1700098852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 224",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118040224",
            "telephone_number": "631-385-8558",
            "fax_number": "631-385-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WALT WHITMAN ROAD",
            "address_2": "SUITE 201",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464276",
            "telephone_number": "631-385-8558",
            "fax_number": "631-385-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJA JOHNKUTTY, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "JOHNKUTTY",
        "authorized_official_first_name": "SUJA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-385-8558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "216285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.