MS. PREETHI K NAIDU PA
NPI 1336341023
Physician Assistant - Medical in Ronkonkoma, NY

Q: What is Preethi Naidu's NPI number?

The NPI number for Preethi Naidu is 1336341023. It was assigned to this individual provider in the NPPES registry on June 4, 2007. The provider is also known as Ms. Preethi K Naidu PA.

Q: What is Preethi Naidu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Preethi Naidu was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 04, 2007PECOS Enrolled

3505 VETERANS MEMORIAL HWY STE C, RONKONKOMA, NY 11779(631) 676-7656(631) 676-7648 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Preethi K Naidu Pa NPPES

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

MS. PREETHI K NAIDU PA (NPI 1336341023) is an individual medical provider in Ronkonkoma, New York, licensed in New York (011094) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336341023

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. PREETHI K NAIDUCredential: PA

Location Address3505 VETERANS MEMORIAL HWY STE CRonkonkoma, NY 11779-7613

Mailing Address3505 Veterans Memorial Hwy Ste CRonkonkoma, NY 11779-7613 · (631) 676-7656 · Fax (631) 676-7648

Phone(631) 676-7656

Fax(631) 676-7648

Sole ProprietorNo

Enumeration DateJune 4, 2007

Last NPPES UpdateJanuary 4, 2024

NPPES CertifiedJanuary 4, 2024

✔ NPI 1336341023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 011094

3505 VETERANS MEMORIAL HWY STE C, Ronkonkoma, NY 11779

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Other Names 1

Other Name (5)Ms. Preethi K Naidu Pa

Other Identifiers 1

Medicaid00246075NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Preethi K Naidu Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services24 patients

Other Providers at the Same Location NPPES 7

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

SYED MASROOR PA

Physician Assistant