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

Sangeetha Madhu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215734645

Sangeetha Madhu is a Nurse Practitioner in Deer Park, New York. Qualified in 2024, 2 years ago. Practices with Willow Park Medical Health PC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025

Practice location Address checks out

33 Fulton St
Deer Park, NY 11729-1616
Phone: (516) 416-1670
Fax: (516) 416-1670
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F406793 (NY)

Record details

NPI number1215734645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 20, 2025
Mailing address33 Fulton St, Deer Park, NY 11729-1616

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Willow Park Medical Health Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Deer Park