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

Radha Magdaleen Boodram, ACUTECARENP

Individual provider Registered Nurse · NPI 1083980296

Radha Magdaleen Boodram, ACUTECARENP is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2011, 15 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1991 Marcus Ave Ste 310
New Hyde Park, NY 11042-2057
Phone: (516) 472-6012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4306021 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 5107311 (NY)

Record details

NPI number1083980296
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACUTECARENP
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESApril 2, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in New Hyde Park