Suresh J Tanna, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

163154 Issued in NY

Practice address

Pilgrim Psychiatric Center
998 Crooked Hill Rd ,
Brentwood, NY 11717

Phone

(631) 761-3038

Fax

(631) 761-2008

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740320845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD NORTHPORT RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544206",
            "telephone_number": "631-269-9355",
            "fax_number": "631-761-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PILGRIM PSYCHIATRIC CENTER",
            "address_2": "998 CROOKED HILL RD ,",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-761-3038",
            "fax_number": "631-761-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNA",
        "first_name": "SURESH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "163154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseline Sylvestre Auguste
• Steven Edward Szydziak
• Vanessa Ann Tajalle, M.S.
• Tracy Masa Takaki, PHYSICIAN ASSISTANT
• Kiera Maureen Talley, MA
• Nicole Tapia, RD
• Shervin Tavari
• Dalia M Taveras, LMSW
• Taxi El Universal Inc.
• Joan Marie Taylor

• Psychiatry Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.