Active NPI
Marie Surovitsky, D.O.
- Diagnostic Radiology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-9000
- NPI assigned
- Apr 29, 2015
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NY | ||
| Diagnostic Radiology Physician | 2085R0202X | NY | Primary |
Addresses
Primary practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
2 2ND St
Apt 806
Jersey City, NJ 07302-3096
Other names 1
- Maria A Surovitsky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
136 Mountainview Blvd
Basking Ridge, NJ 07920-3444
Phone (908) 542-3000
225 Summit Ave
Montvale, NJ 07645-1523
Phone (908) 542-3336
480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.37 of 100
- Quality
- 71.5
- Improvement activities
- 40
- Cost
- 70.5
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.9 of 100
- Quality
- 81.6
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303233 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| MSK Bergen | Diagnostic Radiology | Current | Accepting new patients |
| Mskcc Radiology Group | Diagnostic Radiology | Current | Accepting new patients |
| MSK Monmouth | Diagnostic Radiology | Current | Accepting new patients |
Locations
136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000
480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007
225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
500 Commack Rd
Commack, NY 11725
Phone (631) 638-0150
128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936
2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400
510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626
4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
1000 N Village Ave
#13202
Rockville Ctr, NY 11570
992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
2500 Route 347
Stony Brook, NY 11790
Phone (631) 689-7700
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
735 Montauk Hwy
West Islip, NY 11795
Phone (631) 376-6145
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7723
967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1639159692
-
- Medical Oncology Physician
- Basking Ridge, NJ
- NPI 1184637886
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- Special Hospital
- New York, NY
- NPI 1770046351
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063899029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 2ND ST",
"address_2": "APT 806",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUROVITSKY",
"first_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "SUROVITSKY",
"middle_name": "A",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.