Suffolk Neurology & Neurophysiology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC

Practice address

2500 Nesconset Hwy
Suite 16a
Stony Brook, NY 11790-2555

Phone

(631) 246-5454

Fax

(631) 246-5902

NPI assigned

Oct 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Suranganee Mary De Lanerolle, M.D.NPI 1144302977

Title

President

Phone

(631) 246-5454

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suranganee Mary De Lanerolle, MD

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1144302977
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1033362884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "SUITE 16A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-246-5454",
            "fax_number": "631-246-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "SUITE 16A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-246-5454",
            "fax_number": "631-246-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "DE LANEROLLE",
        "authorized_official_first_name": "SURANGANEE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-246-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana T Su, MD
• Hsiu P Su, MD
• Diego Yldebrando Suarez, MD
• Suffolk Medical Care, P.C.
• Suffolk Nephrology Consultants PC
• James H Suh, MD
• John Anthony Sullivan, M.D.
• Rebeka Sultana, MD
• Eddy B Sun, MD
• Lok Yun Sung, MD

• Neurology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.