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

Active since November 24, 2009PECOS EnrolledAccepts Medicare Assignment
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 02, 2026.

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

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, maintains a secondary practice location in Albany, and is a graduate of New York University School Of Medicine (2009).

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
Medical School CMSNew York University School Of MedicineGraduated 2009
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 and accepts Medicare assignment

Dr. Colleen Stephanie Surlyn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456514629
PECOS Enrollment IDI20250528003911
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
632 BROADWAY PH
NEW YORK, NY 10012
New York County (800) 731-4254
LESLIE HSIUNG MD
Family Medicine
632 BROADWAY PH
NEW YORK, NY 10012
New York County (800) 731-4254
KIMBERLY KOTTAS RN
Registered Nurse
632 BROADWAY PH
NEW YORK, NY 10012
New York County (800) 731-4254
DENISE M. YOUNG-AJOSE MD, MPH
Family Medicine
632 BROADWAY PH
NEW YORK, NY 10012
New York County (347) 943-8131
VIVIAN CALIXTO RN
Registered Nurse
632 BROADWAY PH
NEW YORK, NY 10012
New York County (800) 731-4254
DR. TAMARA BENDAHAN M.D.
Psychiatry & Neurology (Psychiatry)
632 BROADWAY PH
NEW YORK, NY 10012
New York County (800) 731-4254
GALILEO MEDICAL GROUP CA PC
Family Medicine
632 BROADWAY PH
NEW YORK, NY 10012
New York County (347) 943-8131
AINSEANLEA BONDS RN
Registered Nurse
632 BROADWAY PH
NEW YORK, NY 10012
New York County (800) 731-4254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Colleen Surlyn located?

Colleen Surlyn practices at 632 Broadway Ph, New York, NY 10012. The listed phone number is (347) 933-6246.

What is Colleen Surlyn's specialty?

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

Is Colleen Surlyn enrolled in Medicare?

Yes. Colleen Surlyn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colleen Surlyn accept?

Health plans from Blue Cross and Blue Shield of NC list Colleen Surlyn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.