Sugrim Medical Office PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

254420 Issued in NY

Legal business name

SUGRIM MEDICAL OFFICE PLLC

Practice address

13106 Liberty Ave
South Richmond Hill, NY 11419-3124

Phone

(718) 322-5322

Fax

(718) 322-5323

NPI assigned

Jan 20, 2011

Organization subpart

No

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

Authorized official

Name

Surendra Sugrim, M.DNPI 1033341185

Title

Owner

Phone

(718) 322-5322

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Surendra Sugrim, MD

  • Family Medicine Physician
  • South Richmond Hill, NY
  • NPI 1033341185
  Medicare reassignment NPD Authorized official
• Muntaz A Majeed, M.D.

  • Internal Medicine Physician
  • South Richmond Hill, NY
  • NPI 1730258682
  Medicare reassignment NPD

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1659676757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 157TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13106 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114193124",
            "telephone_number": "718-322-5322",
            "fax_number": "718-322-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGRIM MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "SUGRIM",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-322-5322",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "254420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03331257",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara C. Soria, LMSW
• Shauna Spear
• Standard Medical Care, PC
• Star Humanity Transport LLC
• Amy Suarez
• Surendra Sugrim, MD
• Leslie Mohan Sukhnandan, OTR/L
• Susanna B Sukhram, FNP
• Tahmina Sultan, RPH
• Rohan Sumrah, RN

• Family Medicine Physician in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.

Verify at the official NPI Registry.