Sammy F. Suriani, PA
Individual provider Active NPI Physician Assistant · N Syracuse, NY
NPI 1497721757 · NPPES record last updated Mar 15, 2019
Key facts
- NPI
- 1497721757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 003379 (NY)
- Practice address
- 5180 W Taft Rd
N Syracuse, NY 13212-2601 - Phone
- (315) 458-4622
- Fax
- (315) 458-9629
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050921000151 | NY | Practitioner - Physician Assistant | 3779517610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003379 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port City Emergency Physicians LLP | Physician Assistant | Current |
Accepting new patients |
| Port City Emergency Physicians LLP | Physician Assistant | Current |
Accepting new patients |
| Cny Internists, PC | Past |
Accepting new patients |
Locations
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003379 | NY | Yes |
Addresses
Primary practice location
5180 W Taft Rd
N Syracuse, NY 13212-2601
Mailing address
PO Box 346
N Syracuse, NY 13212-0346
Phone (315) 458-4622
Other providers in N Syracuse, NY
- Lori M Rose
- Caroline Rouen Dixon
- Carol Scalzo
- William D Schreiber
- Kathleen Sullivan
- Suzanne M Lamanna DO PLLC
- Syracuse Hearing Aid Centers
- Syracuse Surgery Center, LLC
- Kristen Jean Taddie
- Tung D Nguyen DDS PC
All providers in N Syracuse, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.