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MRS. MARY PRASUNA PRASANNA SUDHAKAR FNP- BC
NPI 1245721141
Nurse Practitioner - Family in Staten Island, NY

Active since May 25, 2018
88 OLD TOWN RD, STATEN ISLAND, NY 10304(917) 816-1700 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Sep 20, 2022, May 25, 2018 (3 updates tracked since 2018).

About Mrs. Mary Prasuna Prasanna Sudhakar Fnp- Bc NPPES

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

MRS. MARY PRASUNA PRASANNA SUDHAKAR FNP- BC (NPI 1245721141) is an individual family provider in Staten Island, New York, licensed in New York (F342723-1) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1245721141
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY PRASUNA PRASANNA SUDHAKARCredential: FNP- BC
Location Address88 OLD TOWN RDStaten Island, NY 10304-4212
Mailing Address88 Old Town RdStaten Island, NY 10304-4212 · (917) 816-1700
Phone(917) 816-1700
Sole ProprietorNo
Enumeration DateMay 25, 2018
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1245721141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F342723-1✔ Licensed in TX · AP141707
88 OLD TOWN RD, Staten Island, NY 10304
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE MOULKETIS MS, CCC-SLP
Speech-Language Pathologist
88 OLD TOWN RD
STATEN ISLAND, NY 10304
Richmond County (718) 407-2911
NATALIYA SHKVAROK
Registered Nurse
88 OLD TOWN RD
STATEN ISLAND, NY 10304
Richmond County (718) 407-2930
CHERIE L FRAYNE NP
Nurse Practitioner (Adult Health)
88 OLD TOWN RD
STATEN ISLAND, NY 10304
Richmond County (718) 668-8505
MRS. TAMARA SIBALIC-MANDIC MD
Internal Medicine
88 OLD TOWN RD
STATEN ISLAND, NY 10304
Richmond County (732) 306-7899
SABHIRE LJULJA
Social Worker
88 OLD TOWN RD
STATEN ISLAND, NY 10304
Richmond County (646) 581-3699
CAROLYN FAHEY
Registered Nurse
88 OLD TOWN RD
STATEN ISLAND, NY 10304
Richmond County (718) 407-2930
GRACE ANNE GATBONTON
Registered Nurse
88 OLD TOWN RD
STATEN ISLAND, NY 10304
Richmond County (718) 407-2928
MARY BARONE
Registered Nurse
88 OLD TOWN RD
STATEN ISLAND, NY 10304
Richmond County (718) 407-2917

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 Mary Prasanna Sudhakar's NPI number?

The NPI number for Mary Prasanna Sudhakar is 1245721141. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Mary Prasanna Sudhakar located?

Mary Prasanna Sudhakar practices at 88 Old Town Rd, Staten Island, NY 10304. The listed phone number is (917) 816-1700.

What is Mary Prasanna Sudhakar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Prasanna Sudhakar was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.