Astha Muttreja, M.D.

Internal Medicine in Lake Grove, NY. Individual provider (NPI-1).

NPI number1710364005

StatusActive

Last updated in NPPESNov 20, 2025

Details

NPI: 1710364005
Entity type: Individual (NPI-1)
Name: Astha Muttreja
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: May 6, 2015
Certification date: Nov 20, 2025
Last updated: Nov 20, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	301905	NY	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	NY
2083P0901X	Preventive Medicine, Public Health & General Preventive Medicine	301905	NY

Practice location

4 Smith Haven Mall Ste 202
Lake Grove, NY 11755-1219

Phone 631-444-6250 · Fax 631-444-6665

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-8036

Phone 631-444-2198 · Fax 631-444-7525

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Lake Grove, NY

All 6 Internal Medicine Physician providers in Lake Grove · All 319 providers in Lake Grove

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check