Organization Active NPI

Ocean Medical Plus PC

  • Adolescent Medicine (Family Medicine) Physician
  • New York, NY
National Provider Identifier
1285993956
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
208907 Issued in NY
Legal business name
OCEAN MEDICAL PLUS PC
Practice address
315 E 105TH St
Suite 104
New York, NY 10029-5000
Phone
(212) 722-7800
NPI assigned
May 15, 2012
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Vadim Surikov, M.D.
Title
Owner
Phone
(212) 722-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0000X 208907 NY Primary

Addresses

Primary practice location

315 E 105TH St
Suite 104
New York, NY 10029-5000

Mailing address

315 E 105TH St
Suite 104
New York, NY 10029-5000
Phone (212) 722-7800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1285993956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 105TH ST",
            "address_2": "SUITE 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295000",
            "telephone_number": "212-722-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 105TH ST",
            "address_2": "SUITE 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295000",
            "telephone_number": "212-722-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN MEDICAL PLUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "SURIKOV",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-722-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "208907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.