Individual provider Active NPI

Allen Sutton, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1982628707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400949 Issued in NY
Practice address
520 Franklin Ave Ste 211
Garden City, NY 11530-5815
Phone
(516) 877-7832
Fax
(516) 877-2038
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400949 NY Primary

Addresses

Primary practice location

520 Franklin Ave Ste 211
Garden City, NY 11530-5815

Mailing address

520 Franklin Ave Ste 211
Garden City, NY 11530-5815
Phone (516) 877-7832

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117001075 NY Practitioner - Nurse Practitioner 6608895628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400949NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Choices Ny Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

179 Jamaica Ave
Brooklyn, NY 11207
Phone (718) 906-3800

6209 16th Ave
Brooklyn, NY 11204
Phone (718) 234-0073

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982628707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 211",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305815",
            "telephone_number": "516-877-7832",
            "fax_number": "516-877-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 211",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305815",
            "telephone_number": "516-877-7832",
            "fax_number": "516-877-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ALLEN",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.