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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083581250

Rahul Subramanian Iyer is a Nurse Practitioner in Brentwood, New York. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 4 locations. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

1869 Brentwood Rd
Brentwood, NY 11717-4625
Phone: (844) 400-1975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 82 Middle Country Rd, Coram, NY 11727-4460 — (844) 400-1975
  • 501 N Ocean Ave, Patchogue, NY 11772-1758 — (844) 400-1975
  • 1556 Straight Path, Wyandanch, NY 11798-3213 — (844) 400-1975

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 405648 (NY)

Record details

NPI number1083581250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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