Active NPI
Surrogate Family Care LLC
- Home Health Aide
- New Hyde Park, NY
National Provider Identifier
1639720188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- SURROGATE FAMILY CARE LLC
- Practice address
- 1300 Jericho Tpke Ste 205
New Hyde Park, NY 11040-4601 - Phone
- (516) 806-2223
- NPI assigned
- Sep 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Premal Jani
- Title
- Administrator
- Phone
- (516) 205-6133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1300 Jericho Tpke Ste 205
New Hyde Park, NY 11040-4601
Mailing address
1300 Jericho Tpke Ste 205
New Hyde Park, NY 11040-4601
Phone (516) 806-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 Jericho Tpke
Ste 205
New Hyde Park, NY 11040
Phone (516) 806-2223
73 Market St
Ste 319
Yonkers, NY 10710
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1225457187
-
- Home Health Aide
- New Hyde Park, NY
- NPI 1932750460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1639720188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 JERICHO TPKE STE 205",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404601",
"telephone_number": "516-806-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 JERICHO TPKE STE 205",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404601",
"telephone_number": "516-806-2223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURROGATE FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-26",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "JANI",
"authorized_official_first_name": "PREMAL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-205-6133"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.