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S MADHUSOODANAN MD PC
NPI 1629069901
Psychiatry & Neurology - Psychiatry in Far Rockaway, NY

Active since November 04, 2005
ST JOHNS EPISCOPAL HOSPITAL 327 BEACH CHANNEL DRIVE, FAR ROCKAWAY, NY 11691(718) 869-7000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Mar 1, 2018 (2 updates tracked since 2018).

About S Madhusoodanan Md Pc NPPES

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

S MADHUSOODANAN MD PC (NPI 1629069901) is a healthcare organization registered as a psychiatry in Far Rockaway, New York and active in the NPI registry since November 2005. The organization maintains 7 additional practice locations and lists Subramoniam Madhusoodanan, President S. Madhusoodanan Md Pc, as its authorized official.

NPPES Registry Identity

NPI1629069901
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameS MADHUSOODANAN MD PC
Location AddressST JOHNS EPISCOPAL HOSPITAL 327 BEACH CHANNEL DRIVEFar Rockaway, NY 11691-1511
Mailing Address249 BroadwayLawrence, NY 11559-1511 · (516) 371-1804 · Fax (516) 371-1804
Phone(718) 869-7000
Organization SubpartNo
Authorized OfficialSubramoniam MadhusoodananPresident S. Madhusoodanan Md Pc · (516) 371-1804
Enumeration DateNovember 4, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1629069901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 138957
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
ST JOHNS EPISCOPAL HOSPITAL 327 BEACH CHANNEL DRIVE, Far Rockaway, NY 11691
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Secondary Practice Locations 7

Location 1WATERVIEW NURSING HOME 119-15 27TH AVENUEFLUSHING, NY 11354-1511 · Phone (718) 461-5000
Location 2HORIZON CARE CENTER 6411 BEACH CHANNEL DRIVEFAR ROCKAWAY, NY 11691-1511 · Phone (718) 945-0700
Location 3WEST LAWRENCE CARECENTER 1410 SEAGIRT BOULEVARDFAR ROCKAWAY, NY 11691-1511 · Phone (718) 471-7000
Location 4HAVEN MANOR NURSING HOME 1441 GATEWAY BOULEVARDFAR ROCKAWAY, NY 11691-1511 · Phone (718) 471-1500
Location 5FAR ROCKAWAY NURSING HOME 1311 VIRGINIA STREETFAR ROCKAWAY, NY 11691-1511 · Phone (718) 327-2909
Location 6GRANDELL REHABILITATION CENTER 645 WEST BROADWAYLONG BEACH, NY 11561-1511 · Phone (516) 889-1100
Location 7249 BroadwayLawrence, NY 11559-1511 · Phone (516) 371-1804 · Fax (516) 371-1804

Other Identifiers 1

Medicaid02558818NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 S Madhusoodanan MD PC's NPI number?

The NPI number for S Madhusoodanan MD PC is 1629069901. It was assigned to this organization in the NPPES registry on November 4, 2005.

Where is S Madhusoodanan MD PC located?

S Madhusoodanan MD PC is located at St Johns Episcopal Hospital 327 Beach Channel Drive, Far Rockaway, NY 11691. The listed phone number is (718) 869-7000.

What is S Madhusoodanan MD PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for S Madhusoodanan MD PC was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.