Active NPI
Suja Johnkutty, M.D., P.L.L.C.
- Neurology Physician
- Huntington Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 216285
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suja Johnkutty, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Neurology Physician
- Huntington Station, NY
- NPI 1134227739
-
- Interventional Pain Medicine Physician
- Huntington Station, NY
- NPI 1215932447
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.