Ulana Suprun, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

200005 Issued in NY

Practice address

635 Madison Ave
16TH Floor
New York, NY 10022-1009

Phone

(212) 794-2500

Fax

(212) 879-3846

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Imaging of Manhattan,LLC

  • Specialist
  • New York, NY
  • NPI 1235288580
  NPD (past)
• New York Private Medical Imaging Practice, PLLC

  • Specialist
  • New York, NY
  • NPI 1740459593
  NPD (past)
• Schaffer, Schonholz & Drossman, LLP

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1649322421
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629119458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE",
            "address_2": "16TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-794-2500",
            "fax_number": "212-879-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE",
            "address_2": "16TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-794-2500",
            "fax_number": "212-879-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPRUN",
        "first_name": "ULANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "200005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supportive Medical PC
• Supportive Psychological Services PC
• Supreme Medical Diagnostic,P.C.
• Supreme Therapy Services, LLC
• Shayana Supreme, MHC-LP
• Yoav Suprun, D.P.T.
• Hannah P Sur, MD
• Cathy L. Surace, CRNA
• Erika Surace, M.D.
• Joseph J Surace III, D.O.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.