Patrice Surdi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

062603 Issued in NY

Practice address

57 W 57TH St Ste 1104
New York, NY 10019-2814

Phone

(212) 421-4887

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roseman University of Health Sciences, a Nevada Non-Profit Corp

  • Dentist
  • South Jordan, UT
  • NPI 1417363821
  NPD (past)

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1043895154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E 58TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222337",
            "telephone_number": "425-343-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 57TH ST STE 1104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192814",
            "telephone_number": "212-421-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDI",
        "first_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surbaugh Psychological Services LLC
• Julie Elizabeth Surbaugh-Contreras, PSY.D.
• Katherine Surber, PHARMD
• Amarjot Surdhar, MD
• Olivia Elizabeth Surdi, M.A., CF-SLP, TSSLD
• Kimberly Anne Sureau, NP
• Phanthaphan Sureeyathanaphat, M.D.
• Malini Suresh Nair, MD
• Suresh Vakharia Dentist PC
• Madhuvanthi Suresh, PHD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.