Charles Joseph Surette, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

326252 Issued in NY

Practice address

110 E 42ND St RM 1818
New York, NY 10017-5645

Phone

(212) 335-0236

Fax

(646) 607-5985

NPI assigned

Jun 1, 2020

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cohen Psychiatric Services PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1528610854
  NPD
• Principium Psychiatry PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1588442156
  NPD (past)

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1134743545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 42ND ST RM 1818",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175645",
            "telephone_number": "212-335-0236",
            "fax_number": "646-607-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 42ND ST RM 1818",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175645",
            "telephone_number": "212-335-0236",
            "fax_number": "646-607-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURETTE",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "326252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Sureau, NP
• Phanthaphan Sureeyathanaphat, M.D.
• Malini Suresh Nair, MD
• Suresh Vakharia Dentist PC
• Madhuvanthi Suresh, PHD
• Surgical Services of Bimc
• Surgical Services of St Vincents PC
• Surgical Sock Shop II Inc (The Compression Store)
• Surgicare of Manhattan, LLC
• Surgicare of Westside, LLC

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.