Vadim Surikov, D.O.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

25MB07578900 Issued in NJ

Practice address

5600 Kennedy Blvd
Suite 102
West New York, NJ 07093

Phone

(201) 866-3100

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Holistic Health Center

  • Chiropractor
  • Park Ridge, NJ
  • NPI 1811167885
  NPD (past)
• Integrated Healthcare Group, P.C.

  • Internal Medicine Physician
  • West New York, NJ
  • NPI 1669577318
  NPD (past)
• Alexander Berenblit, M.D.

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1336309541
  NPD (past)
• Welcome Medical PC

  • General Practice Physician
  • Rego Park, NY
  • NPI 1710215918
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1962529586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 KENNEDY BLVD",
            "address_2": "SUITE 102",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-866-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 KENNEDY BLVD",
            "address_2": "SUITE 102",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-866-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIKOV",
        "first_name": "VADIM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB07578900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076929",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Marshall Steinberg, D.D.S., M.S.
• Jamal Stephon Stephens
• Benita Strickland, PTA
• Subtelny Face & Jaw LLC
• Sunrise Wellness
• Daxa Surti, M.D.
• Sweet Family Care at Home, LLC
• Synergy Sports and Medical Rehabilitation
• T-N-T Medical Equipment & Supplies
• Danny Tamayo

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in West New York, NJ
• Providers in West New York, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.