Fouad Surur, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

105672 Issued in NY

Practice address

167 E 67TH St
2C
New York, NY 10021-5914

Phone

(212) 734-1239

Fax

(212) 746-6933

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104838366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E 67TH ST",
            "address_2": "2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215914",
            "telephone_number": "212-734-1239",
            "fax_number": "212-746-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 E 67TH ST",
            "address_2": "2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215914",
            "telephone_number": "212-734-1239",
            "fax_number": "212-746-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURUR",
        "first_name": "FOUAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "105672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Yelissa Suriel, RDH
• David Suriel, LCSW
• Colleen Stephanie Surlyn, MD
• Ryan Surmay, P.A.
• Myrlandy Chrystel Surprise, MD
• Robert William Sury, M.D.
• Carter Suryadevara
• Kiranmayee Suryadevara, PHARM.D.
• Sus
• Sus

• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.