College Point Medical P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

204213 Issued in NY

Legal business name

COLLEGE POINT MEDICAL P.C.

Practice address

4211 College Point Blvd
Flushing, NY 11355-4230

Phone

(718) 321-9688

Fax

(718) 321-9668

NPI assigned

May 18, 2011

Organization subpart

Yes

Parent organization

COLLEGE POINT MEDICAL P.C.As reported in NPPES

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

Authorized official

Name

Dr. Gerald Surya, M.D.NPI 1184647521

Title

M.D.

Phone

(718) 321-9688

Specialties & licenses 2

Addresses

Part of

College Point Medical PC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Surya, MD

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184647521
  NPD (past) Authorized official

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1538452958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 COLLEGE POINT BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554230",
            "telephone_number": "718-321-9688",
            "fax_number": "718-321-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 COLLEGE POINT BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554230",
            "telephone_number": "718-321-9688",
            "fax_number": "718-321-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE POINT MEDICAL P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLEGE POINT MEDICAL P.C.",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "SURYA",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-321-9688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204213",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Cole, RN
• Nicola Coley
• Rachel Colin, NP
• Cesar Leandro Collado, M.S., CCC-SLP
• Christopher Collado, M.D.
• Robin Xavier Colmenares, RN
• Columbia Orthodontics, P.C.
• Kallie Desmond Combs, DO
• Ronald D Combs, P.A.
• Comeback PT PC

• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.