Jose I Serruya, M.D.P.C.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

207927 Issued in NY

Practice address

6907 43Rd Ave
Suite C 2
Woodside, NY 11377-9100

Phone

(718) 830-3772

Fax

(718) 255-1841

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Specialty

Neurology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGBGAA/Endpoint/FGBGAA

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.

• Jose Serruya, M.D.P.C.

  • Specialist
  • Woodside, NY
  • NPI 1396985222

  Neurology With Special Qualifications in Child Neurology

  Medicare reassignment NPD Authorized official
• Epilepsy & Neurophysiology Medical Consultants PA

  • Neurology Physician
  • Hackensack, NJ
  • NPI 1013998830

  Neurology With Special Qualifications in Child Neurology

  Medicare reassignment NPD
• Epilepsy & Neurophysiology Medical Consultants, PA

  • Neurology Physician
  • Pennington, NJ
  • NPI 1386003580

  Neurology With Special Qualifications in Child Neurology

  NPD
• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1548217763
  NPD (past)
• St Vincents Catholic Medical Center

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1619051703
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1609850296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 43RD AVE",
            "address_2": "SUITE C 2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113779100",
            "telephone_number": "718-830-3772",
            "fax_number": "718-255-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 43RD AVE",
            "address_2": "SUITE C 2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113779100",
            "telephone_number": "718-830-3772",
            "fax_number": "718-255-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRUYA",
        "first_name": "JOSE",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "207927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02104103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristian Secareanu, D.D.S.
• Bryan Whitman Segall, SCLA, CSAA
• Victor J Sena, R.PH.
• Nina E Senados
• Chiara Hyacinth Ferrandiz Senerez, PT
• Set in Motion Physical Therapy,P.T.,P.T.a.,P.L.L.C.
• Marc Sferrazza, LMT
• Axay Ramesh Shah
• Bhumi A Shah
• Nira Shah, LMHC

• Neurology with Special Qualifications in Child Neurology Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.