Individual provider Active NPI

Erin A Coffey-Surgot, M.S.E, P.D.

  • School Psychologist
  • Long Beach, NY
National Provider Identifier
1265679427
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
311 W Chester St
Long Beach, NY 11561-1803
Phone
(516) 897-9475
Fax
(516) 897-9475
NPI assigned
Jan 9, 2009
Last updated
Jan 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NY Primary

Addresses

Primary practice location

311 W Chester St
Long Beach, NY 11561-1803

Mailing address

311 W Chester St
Long Beach, NY 11561-1803
Phone (516) 897-9475

Other names 1

  • Erin A Coffey Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1265679427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W CHESTER ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611803",
            "telephone_number": "516-897-9475",
            "fax_number": "516-897-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W CHESTER ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611803",
            "telephone_number": "516-897-9475",
            "fax_number": "516-897-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY-SURGOT",
        "first_name": "ERIN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.S.E, P.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "COFFEY",
            "middle_name": "A",
            "credential": "M.S.E, P.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.