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

Kelley Sookraj

Individual provider Surgical Critical Care Physician · NPI 1689852386

Kelley Sookraj is a General Surgery in Patchogue, New York. Qualified in 2005, 21 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2008

Practice location Address checks out

4 Phyllis Dr Ste B
Patchogue, NY 11772-2900
Phone: (631) 289-4700
Show map & directions

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

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 269343 (NY)

Record details

NPI number1689852386
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedFebruary 5, 2008
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024
Mailing address4 Phyllis Dr Ste B, Patchogue, NY 11772-2900

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Patchogue