DR. AMARJOT SURDHAR (NPI# 1225205990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225205990 |
| Entity Type | Individual |
| Full Name | DR. AMARJOT SURDHAR |
| Credential | MD |
| Practice Address |
7559 263rd St Zucker Hillside Hospital Littauer Building Glen Oaks NY 11004-1150 |
| Mailing Address |
7559 263rd St Zucker Hillside Hospital Littauer Building Glen Oaks NY 11004 |
| Practice Telephone | 7184708950 |
| Mailing Telephone | 7184708950 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
279309 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
7559 263RD ST ZUCKER HILLSIDE HOSPITAL LITTAUER BUILDING |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769978 | Lola Robins Occhiogrosso | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2006-05-22 |
| 1427663996 | Miriam Holtzman | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-09-11 |
| 1225641830 | Dor Brender | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-08-25 |
| 1073121596 | Ketrice-ann Delonnay | Nurse Practitioner | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-07-21 |
| 1427675149 | Destiny Latoya Bernard | Nurse Practitioner | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-06-29 |
| 1548883747 | Maria Daniela Ospina | Counselor | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-05-21 |
| 1770103384 | Julia Tartaglia | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-23 |
| 1720608714 | Joseph Flaxer | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-20 |
| 1205455904 | Elsa Thomas | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-04-13 |
| 1932728979 | Woo Ri Bae | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| Find all providers in zip 11004 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760849475 | Roopali Parikh | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2016-01-26 |
| 1013327220 | Sabina Fink | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2014-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083047658 | Stanley Samuel | Psychiatry & Neurology | 2925 West 19th Street, Brooklyn, NY 11224 | 2013-08-18 |
| 1942434311 | Daniel Rollings Karlin | Psychiatry & Neurology | 2061 Narragansett Ave # 2, Bronx, NY 10461-1741 | 2009-05-13 |
| 1689820474 | Timothy Koehler Brennan | Psychiatry & Neurology | 1000 10th Ave Fl 8, New York, NY 10019 | 2008-08-12 |
| 1821295577 | Marianne Elizabeth Chai | Psychiatry & Neurology | 226 E 52nd St, Center for Living, New York, NY 10022-6201 | 2007-06-27 |
| 1538371331 | James Peter Wolberg | Psychiatry & Neurology | 1st Ave & 16th St, Bernstein Pavilion, New York, NY 10003 | 2007-05-04 |
| 1578786141 | Bryan James Mcgreal | Psychiatry & Neurology | 324 Lafayette St Fl 8, New York, NY 10012-2726 | 2007-04-11 |
| 1417070442 | Alejo Parellada | Psychiatry & Neurology | 634 Bergen St, #1, Brooklyn, NY 11238-3450 | 2007-04-06 |
| 1366563652 | Steven Joesph Lee | Psychiatry & Neurology | 130 W. 19th St., Suite Thfb, New York, NY 10011 | 2007-04-03 |
| 1154463511 | Ralph Joseph Carotenuto | Psychiatry & Neurology | 157 South Lake Ave, Albany, NY 12208 | 2007-02-13 |
| 1245383405 | John J Mariani | Psychiatry & Neurology | 51 E 25th St Ste 7e, New York, NY 10010-2945 | 2007-01-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.