Active NPI
Surendranath K Reddy, MD
- Pediatric Orthopaedic Surgery Physician
- Flushing, NY
National Provider Identifier
1801005087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 118368
- Practice address
- 140-15 Holly Ave
Flushing, NY 11355 - Phone
- (718) 460-6600
- Fax
- (718) 460-4990
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 118368 | NY | Primary |
Addresses
Primary practice location
140-15 Holly Ave
Flushing, NY 11355
Mailing address
1107 Fordham Lane
Woodmere, NY 11598
Phone (718) 460-6600
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118368 | NY | MD | Pediatric Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801005087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 FORDHAM LANE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "11598",
"telephone_number": "718-460-6600",
"fax_number": "718-460-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140-15 HOLLY AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-460-6600",
"fax_number": "718-460-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SURENDRANATH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NY",
"license": "118368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- 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.