Active NPI
Sure Medical PC
- Internal Medicine Physician
- Elmhurst, NY
National Provider Identifier
1033415294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 224296
- Legal business name
- SURE MEDICAL PC
- Practice address
- 9425 60TH Ave
Suite B4
Elmhurst, NY 11373-5069 - Phone
- (718) 362-8183
- Fax
- (718) 362-1651
- NPI assigned
- Feb 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hertzel K Sure, MD
- Title
- President
- Phone
- (718) 362-8183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 224296 | NY | Primary |
Addresses
Primary practice location
9425 60TH Ave
Suite B4
Elmhurst, NY 11373-5069
Mailing address
9425 60TH Ave Ste B-4
Elmhurst, NY 11373-5069
Phone (718) 280-9092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1083727762
-
- Physical Therapist
- Bronx, NY
- NPI 1720302607
-
- Diagnostic Radiology Physician
- Rego Park, NY
- NPI 1528027067
-
- Infectious Disease Physician
- Elmhurst, NY
- NPI 1558469262
-
- Cardiovascular Disease Physician
- Bronx, NY
- NPI 1407885387
-
- Medical Physician Assistant
- Elmhurst, NY
- NPI 1124573506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1033415294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9425 60TH AVE STE B-4",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735069",
"telephone_number": "718-280-9092",
"fax_number": "914-810-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9425 60TH AVE",
"address_2": "SUITE B4",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735069",
"telephone_number": "718-362-8183",
"fax_number": "718-362-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "SURE",
"authorized_official_first_name": "HERTZEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-362-8183",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "224296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.