KEVIN SU MD
NPI 1740983436
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY
About Kevin Su Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN SU MD (NPI 1740983436) is an individual child & adolescent psychiatry provider in New York, New York, licensed in New York (338733) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elmhurst.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Su Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NEW YORK, NY 10029
NEW YORK, NY 10029
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 Kevin Su's NPI number?
The NPI number for Kevin Su is 1740983436. It was assigned to this individual provider in the NPPES registry on March 23, 2023.
Where is Kevin Su located?
Kevin Su practices at 1901 1st Ave, New York, NY 10029. The listed phone number is (212) 423-6262.
What is Kevin Su's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Kevin Su enrolled in Medicare?
Yes. Kevin Su is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kevin Su was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kevin Su, MD · NPI 1740983436
Child & Adolescent Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 23, 2023.
## Identity
- **NPI:** 1740983436 (Entity type: Individual)
- **Enumerated:** March 23, 2023
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 338733 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1901 1ST AVE, New York, NY 10029-7491
- **Phone:** (212) 423-6262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740983436) · Data from the CMS NPPES public registry.