SUCHADA RACHAPAT SURUNNA
NPI 1104421585
Licensed Practical Nurse in Nesconset, NY

Active since December 02, 2020
24 BURNHAM PL, NESCONSET, NY 11767(818) 929-6236 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suchada Rachapat Surunna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUCHADA RACHAPAT SURUNNA (NPI 1104421585) is an individual licensed practical nurse in Nesconset, New York, licensed in New York (329305-01) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1104421585
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSUCHADA RACHAPAT SURUNNA
Location Address24 BURNHAM PLNesconset, NY 11767-2956
Mailing Address24 Burnham PlNesconset, NY 11767-2956 · (818) 929-6236
Sole ProprietorYes
Enumeration DateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
NPI 1104421585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 329305-01
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
24 BURNHAM PL, Nesconset, NY 11767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suchada Surunna's NPI number?

The NPI number for Suchada Surunna is 1104421585. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Suchada Surunna located?

Suchada Surunna practices at 24 Burnham Pl, Nesconset, NY 11767. The listed phone number is (818) 929-6236.

What is Suchada Surunna's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Suchada Surunna was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.