Active NPI
Steven Michael Suran, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Lynbrook, NY
National Provider Identifier
1851375950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N002995
- Practice address
- 215 Atlantic Ave
Lynbrook, NY 11563-3545 - Phone
- (516) 599-5688
- Fax
- (516) 599-5029
- NPI assigned
- Dec 1, 2005
- 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 |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N002995 | NY | Primary |
Addresses
Primary practice location
215 Atlantic Ave
Lynbrook, NY 11563-3545
Mailing address
215 Atlantic Ave
Lynbrook, NY 11563-3545
Phone (516) 599-5688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00406271 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002995 | NY | MD | Internal Medicine Physician |
| N002995 | NY | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1851375950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 ATLANTIC AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633545",
"telephone_number": "516-599-5688",
"fax_number": "516-599-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 ATLANTIC AVE",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633545",
"telephone_number": "516-599-5688",
"fax_number": "516-599-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURAN",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N002995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00406271",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.