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

Kavitha Binu

Individual provider Gerontology Nurse Practitioner · NPI 1740985639

Kavitha Binu is a Nurse Practitioner in Deer Park, New York. Qualified in 2018, 8 years ago. Practices with South Shore Magnetic Resonance Imaging Associates PC, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2023

Practice location Address checks out

207 Adams St
Deer Park, NY 11729-3028
Phone: (631) 889-3703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AG05190061 (NY)

Record details

NPI number1740985639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateMarch 28, 2023
Mailing address207 Adams St, Deer Park, NY 11729-3028

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice South Shore Magnetic Resonance Imaging Associates Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount