Nicole M Surizon, MS,CCC-SLP TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019569-1 Issued in NY

Practice address

74 McArthur Ave
Staten Island, NY 10312-1925

Phone

(917) 359-5625

NPI assigned

Oct 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole M Perrotto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1326373358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MCARTHUR AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121925",
            "telephone_number": "917-359-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MCARTHUR AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121925",
            "telephone_number": "917-359-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIZON",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "MS,CCC-SLP TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019569-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PERROTTO",
            "middle_name": "M",
            "credential": "MS,CCC-SLP TSSLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meera R Surapaneni
• Marianne Surasi, D.P.M.
• Christine Rose Surat
• Jennifer Lauren Surato
• Lynda Surck, PA-C
• Marie Surovitsky, D.O.
• Susan Zona-O'Byrne Pediatrics PLLC
• Amanda Susi
• Danita A Susi
• Thomas Anthony Susinno-Eadicicco, LMHC

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.