Active NPI
Renee Suriano
- Registered Nurse
- Smithtown, NY
National Provider Identifier
1710356019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 774976
- Practice address
- 14 Bellemeade Ave
Smithtown, NY 11787-1857 - Phone
- (631) 265-5300
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 10322474 | NY | |
| Registered Nurse | 163W00000X | 774976 | NY | Primary |
Addresses
Primary practice location
14 Bellemeade Ave
Smithtown, NY 11787-1857
Mailing address
82 Candee Ave
Sayville, NY 11782-3008
Phone (631) 834-6394
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 |
|---|---|---|---|
| 774976 | NY | MD | Registered Nurse |
| 10322474 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Nursing Registry, Inc. | Past | Accepting new patients | |
| Christian Nursing Registry Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Smithtown, NY
- NPI 1942587621
-
- Home Health Agency
- Smithtown, NY
- NPI 1912038274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1710356019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 CANDEE AVE",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823008",
"telephone_number": "631-834-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 BELLEMEADE AVE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871857",
"telephone_number": "631-265-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURIANO",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-17",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "10322474",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "774976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.