Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841807799 Individual Practitioner Female Practitioner

Raquel Shivanna Sookram , FNP

Nurse Practitioner • Ridgewood, NY

Professional Overview & Biography Verified Profile Summary

Raquel Sookram, FNP is a registered healthcare professional specializing in Nurse Practitioner in Ridgewood, NY. Practice services are available at 5505 MYRTLE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5505 Myrtle Ave

Ridgewood, NY 113853550

Telephone 7184716454

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ridgewood, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Ridgewood, NY (3155 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY F346461-01

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Andi Bala , PT, DPT

Physical Therapist

NPI 1104770890

Physical Therapist, Doctor of Physical Therapy

NPI 1376496687

Physical Therapist, Doctor of Physical Therapy

NPI 1861319154

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2020

Registered at 5505 MYRTLE AVE, RIDGEWOOD, NY 113853550 (Tel: 7184716454)

📍
Updated Business Mailing Address September 24, 2020

Registered at 10922 123RD ST, SOUTH OZONE PARK, NY 114201424

👤
Provider Name / Credentials Updated September 24, 2020

Recorded as RAQUEL SOOKRAM, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2020

Nurse Practitioner (License #F346461-01 in NY)

🟢
Initial NPI Registration & Enumeration September 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841807799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2020
Last Update: September 24, 2020
Sole Proprietor: Yes

Mailing Address

10922 123rd St

South Ozone Park, NY 114201424

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.