SUPRIYA MAKAM MD
NPI 1720924459
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 27, 2026
1468 MADISON AVE, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supriya Makam Md NPPES

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

SUPRIYA MAKAM MD (NPI 1720924459) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1720924459
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUPRIYA MAKAMCredential: MD
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address3 Shipwatch DrNewburgh, NY 12550-1342 · (845) 527-5016
Sole ProprietorYes
Enumeration DateApril 27, 2026
NPPES CertifiedApril 26, 2026
NPI 1720924459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1468 MADISON AVE, New York, NY 10029

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029

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 Supriya Makam's NPI number?

The NPI number for Supriya Makam is 1720924459. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Supriya Makam located?

Supriya Makam practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Supriya Makam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Supriya Makam was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.