NPIMap

Organization Active NPI

Carole Marly Surin

  • Adult Care Home Facility
  • Spring Valley, NY
National Provider Identifier
1346618212
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
313619-1 Issued in NY
Legal business name
CAROLE MARLY SURIN
Practice address
13 Sherman Dr
Spring Valley, NY 10977-4332
Phone
(845) 300-3886
NPI assigned
Sep 9, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Mrs. Carole Marly SurinNPI 1205474392
Title
LPN
Phone
(845) 300-3886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 313619-1 NY Primary

Addresses

Primary practice location

13 Sherman Dr
Spring Valley, NY 10977-4332

Mailing address

13 Sherman Dr
Spring Valley, NY 10977-4332
Phone (845) 517-2034

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1346618212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SHERMAN DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774332",
            "telephone_number": "845-517-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SHERMAN DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774332",
            "telephone_number": "845-300-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE MARLY SURIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SURIN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "MARLY",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "845-300-3886",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "313619-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

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