DR. COLLEEN STEPHANIE SURLYN MD
NPI 1053649418
Internal Medicine in New York, NY

Q: What is Colleen Surlyn's NPI number?

The NPI number for Colleen Surlyn is 1053649418. It was assigned to this individual provider in the NPPES registry on November 24, 2009. The provider is also known as Dr. Colleen Stephanie Lynch.

Q: What is Colleen Surlyn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Surlyn was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 24, 2009PECOS Enrolled

632 BROADWAY PH, NEW YORK, NY 10012(347) 933-6246 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 21, 2021, Dec 29, 2020, Feb 24, 2020 (3 updates tracked since 2020).

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About Dr. Colleen Stephanie Surlyn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COLLEEN STEPHANIE SURLYN MD (NPI 1053649418) is an individual internal medicine provider in New York, New York, licensed in New York (270474-1) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1053649418

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. COLLEEN STEPHANIE SURLYNCredential: MD

Location Address632 BROADWAY PHNew York, NY 10012-2614

Mailing Address64 Bleecker St # 151New York, NY 10012-2410

Phone(347) 933-6246

Sole ProprietorYes

Enumeration DateNovember 24, 2009

Last NPPES UpdateOctober 21, 20213 updates tracked since enumeration

NPPES CertifiedOctober 21, 2021

✔ NPI 1053649418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 270474-1

Definition

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.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 270474 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

632 BROADWAY PH, New York, NY 10012

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Other Names 1

Other Name (5)Dr. Colleen Stephanie Lynch

Secondary Practice Location 1

Location 1920 Lark DrAlbany, NY 12207-1300 · Phone (518) 465-4771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Colleen Stephanie Surlyn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTHER SANTANA BAZIL RN

Registered Nurse