Active NPI
Mark Edward Surabian, ABD, ATP
- Assistive Technology Practitioner Rehabilitation Counselor
- Bronx, NY
National Provider Identifier
1588920540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- License
- RESNA CERTIFIED ATP
- Practice address
- 5 Fordham Hill Oval
14G
Bronx, NY 10468-4854 - Phone
- (917) 586-8000
- NPI assigned
- Apr 4, 2012
- Last updated
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | RESNA CERTIFIED ATP | NY | Primary |
Addresses
Primary practice location
5 Fordham Hill Oval
14G
Bronx, NY 10468-4854
Mailing address
5 Fordham Hill Oval
14G
Bronx, NY 10468-4854
Phone (917) 586-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RESNA CERTIFIED ATP | NY | MD | Assistive Technology Practitioner Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1588920540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FORDHAM HILL OVAL",
"address_2": "14G",
"city": "BRONX",
"state": "NY",
"postal_code": "104684854",
"telephone_number": "917-586-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FORDHAM HILL OVAL",
"address_2": "14G",
"city": "BRONX",
"state": "NY",
"postal_code": "104684854",
"telephone_number": "917-586-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURABIAN",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Prof.",
"credential": "ABD, ATP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "NY",
"license": "RESNA CERTIFIED ATP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.