Individual provider Active NPI

Joseph J Surace III, D.O.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1194062620
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
270547-1 Issued in NY
Practice address
235 E 105TH St
Apt. 7a
New York, NY 10029-4739
Phone
(516) 313-6561
NPI assigned
Jan 3, 2013
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 270547-1 NY Primary

Addresses

Primary practice location

235 E 105TH St
Apt. 7a
New York, NY 10029-4739

Mailing address

235 E 105TH St
Apt. 7a
New York, NY 10029-4739
Phone (516) 313-6561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20170403000896 FL Practitioner - Diagnostic Radiology 5597908137 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Radiology Associates of South Florida LLCGroup PAC ID 5799689659, 4 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

1425 Gateway Blvd
Suite 100
Boynton Beach, FL 33426-8313
Phone (561) 496-6935

15340 S Jog Rd
Suite 160
Delray Beach, FL 33446-2170
Phone (561) 496-6935

1572 Palm Beach Lakes Blvd
Suite 2
West Palm Beach, FL 33401-2338
Phone (561) 496-6935

1601 Clint Moore Rd
Suite 140
Boca Raton, FL 33487-5714
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

23071 State Rd
Suite 7
Boca Raton, FL 33428-5433
Phone (561) 496-6935

2565 S State Rd
Suite 7
Wellington, FL 33414-9368
Phone (561) 496-6935

2863 S State Rd
7 Suite 400
Wellington, FL 33414-9435
Phone (561) 496-6935

3313 W Hillsboro Blvd
Suite 101
Deerfield Beach, FL 33442-9423
Phone (904) 399-5550

500 Meadows Rd
Boca Raton, FL 33486-2304
Phone (786) 596-1289

6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935

6642 Costa Cir
Naples, FL 34113-1703
Phone (786) 596-1289

690 Meadows Rd
Boca Raton, FL 33486-2344
Phone (904) 399-5550

701 NW 13TH St
Boca Raton, FL 33486-2305
Phone (904) 399-5550

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (786) 596-1289

8142 Glades Rd
Boca Raton, FL 33434-4064
Phone (561) 496-6935

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
270547-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Imaging, LLC Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jun 11, 2022 Accepting new patients
Independent Imaging LLC CurrentSince Dec 1, 2016 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Aug 3, 2023 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Manatee Memorial Hospital L P PastSince Mar 8, 2017 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology Past Accepting new patients

Locations

23071 State Road 7
Boca Raton, FL 33428
Phone (561) 477-6000

8142 Glades Rd
Boca Raton, FL 33434
Phone (561) 314-2500

1425 Gateway Blvd
Ste 100
Boynton Beach, FL 33426

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

15340 S Jog Rd
Ste 160
Delray Beach, FL 33446

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3601 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2565 S State Road 7
Wellington, FL 33414
Phone (561) 727-2300

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

1572 Palm Beach Lakes Blvd
Ste 2
West Palm Beach, FL 33401

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1194062620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E 105TH ST",
            "address_2": "APT. 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294739",
            "telephone_number": "516-313-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E 105TH ST",
            "address_2": "APT. 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294739",
            "telephone_number": "516-313-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURACE",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "270547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.