Individual provider Active NPI

Surinder Pal, M.D,

  • Internal Medicine Physician
  • Ardsley, NY
National Provider Identifier
1538245139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201155 Issued in NY
Practice address
80 Wood Ave
Ardsley, NY 10502-1022
Phone
(914) 479-5201
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201155 NY Primary

Addresses

Primary practice location

80 Wood Ave
Ardsley, NY 10502-1022

Mailing address

80 Wood Ave
Ardsley, NY 10502-1022
Phone (914) 479-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121212000217 NY Practitioner - Internal Medicine 5294987624 Reassigns benefits to 6 organizations
I20180205001168 TX Practitioner - Internal Medicine 5294987624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Northeastern Queens PLLCGroup PAC ID 4587013446, 32 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians

Practice addresses (Care Compare)

210 Beach 47TH St
Far Rockaway, NY 11691-1100
Phone (718) 471-1311

2830 Pitkin Ave
Brooklyn, NY 11208-3220
Phone (347) 709-3133

7810 164TH St
Fresh Meadows, NY 11366-1229
Phone (718) 591-8300

8008 45TH Ave
Elmhurst, NY 11373-3545
Phone (718) 639-1800

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • M J H S Hospice and Palliative Care, Inc Hospice, New York, NY, CCN 331529
  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233
  • Westchester Center For Rehabilitation & Nursing Nursing home, Mount Vernon, NY, CCN 335459

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Py Medical PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 27, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 27, 2017 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Medical Services of Northeastern Queens PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
My Medical PC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Sutton Park Center for Nursing & Rehabilitation LLC Past Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Internal Medicine Past Accepting new patients
Parkview Operating Co LLC Past Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300

2749 Linden Blvd
Brooklyn, NY 11208
Phone (201) 936-9345

2720 Surf Ave
Brooklyn, NY 11224
Phone (718) 230-4844

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

1 Commons Dr
Lake Katrine, NY 12449
Phone (845) 336-6666

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

515 Main St
Olean, NY 14760
Phone (716) 373-2600

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538245139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WOOD AVE",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021022",
            "telephone_number": "914-479-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WOOD AVE",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021022",
            "telephone_number": "914-479-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAL",
        "first_name": "SURINDER",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

Verify at the official NPI Registry.