Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Astha Muttreja, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710364005

Astha Muttreja, MD is an Internal Medicine in Lake Grove, New York. Qualified in 2015, 11 years ago. Practices with Stony Brook Family and Preventive Medicine, University Faculty Practic, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4 Smith Haven Mall Ste 202
Lake Grove, NY 11755-1219
Phone: (631) 444-6250
Fax: (631) 444-6665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 301905 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X · Licence 301905 (NY)

Record details

NPI number1710364005
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2015
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address101 Nicolls Rd, Stony Brook, NY 11794-8036

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Stony Brook Family And Preventive Medicine, University Faculty Practic — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lake Grove