SURENDRA KISSOON MD – NPI #1144306630
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

SURENDRA KISSOON is a physician located in JAMAICA, NY. NPPES has assigned the NPI number 1144306630 to SURENDRA KISSOON on October 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 7 years ago on Sep 16, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURENDRA KISSOON below.

NPI Profile for
SURENDRA KISSOON

NPI Number
1144306630
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SURENDRA KISSOON
Credentials
MD
Primary location
18005 HILLSIDE AVE
JAMAICA, NY 11432
Phone: (718) 526-6300 Fax: (718) 262-7064
1 Other location(s):
18005 Hillside Ave
Jamaica, NY 11432
Phone: (718) 526-6300
Fax: (718) 262-7064
Mailing address
55 WATER STREET
2ND FLOOR CRED DEPT
NEW YORK, NY 10041-0004
Phone: (646) 680-2888 Fax: (516) 542-5556
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
NY 235079

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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