Suraj Mathial, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

015991 Issued in NY

Practice address

4012 80TH St
Elmhurst, NY 11373-1234

Phone

(718) 551-0043

NPI assigned

Dec 14, 2012

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

B and L Health IncGroup PAC ID 9830124908, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• B & L Health Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1023229416
  Medicare reassignment Care Compare group
• Ajay 28 LLC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1609342898
  Medicare reassignment
• Metro Dermatology of Ny,PC

  • Physician Assistant
  • Flushing, NY
  • NPI 1336343268
  Medicare reassignment
• Vanguard Dermatology

  • Specialist
  • Brooklyn, NY
  • NPI 1619179009
  Medicare reassignment
• City Central Dermatology PLLC

  • Specialist
  • Elmhurst, NY
  • NPI 1780977579
  NPD (past)
• Metro Dermatology of NJ,PA

  • Procedural Dermatology Physician
  • Fort Lee, NJ
  • NPI 1437353372
  NPD (past)

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1982940268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25427 84TH RD",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011042",
            "telephone_number": "718-343-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 80TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731234",
            "telephone_number": "718-551-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAL",
        "first_name": "SURAJ",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-14",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalpana Rashmin Master, MD
• Marina Matatova, D.O.
• Yelena Matatova
• Benson Mathew
• Philip P Mathew, M.D
• Claudia Solange Matos, LMSW
• Matthew I Kessman DDS PC
• Devica Matuknath
• Martin Holiday Maurer, MD
• Helen Mavropoulos, M.A.,CCC-SLP

• Physician Assistant in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.