Individual provider Active NPI

Darline Surpris

  • School Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1033419064
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
627839 Issued in NY
Practice address
655 East 94 Street
#2F
Brooklyn, NY 11236-2104
Phone
(347) 579-5834
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 627839 NY Primary

Addresses

Primary practice location

655 East 94 Street
#2F
Brooklyn, NY 11236-2104

Mailing address

655 E 94TH St
#2F
Brooklyn, NY 11236-1105
Phone (347) 579-5834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
627839NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1033419064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 94TH ST",
            "address_2": "#2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361105",
            "telephone_number": "347-579-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EAST 94 STREET",
            "address_2": "#2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362104",
            "telephone_number": "347-579-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURPRIS",
        "first_name": "DARLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "627839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.