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DR. MARIE GRAZIELLA SURPRIS D.O.
NPI 1295944981
Psychiatry & Neurology - Child & Adolescent Psychiatry in Nesconset, NY

Active since May 21, 2007Opted out of Medicare · through Dec 6, 2027
148 NICHOLS RD, NESCONSET, NY 11767(631) 467-0867(631) 467-0892 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marie Graziella Surpris D.o. NPPES

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

DR. MARIE GRAZIELLA SURPRIS D.O. (NPI 1295944981) is an individual child & adolescent psychiatry provider in Nesconset, New York, licensed in New York (2157481) and active in the NPI registry since May 2007. She has opted out of Medicare through December 6, 2027.

NPPES Registry Identity

NPI1295944981
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MARIE GRAZIELLA SURPRISCredential: D.O.
Location Address148 NICHOLS RDNesconset, NY 11767-2115
Mailing Address148 Nichols RdNesconset, NY 11767-2115 · (631) 467-0867 · Fax (631) 467-0892
Phone(631) 467-0867
Fax(631) 467-0892
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295944981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 2157481
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
148 NICHOLS RD, Nesconset, NY 11767
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Marie Graziella Surpris D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 6, 2021 through December 6, 2027.

Opt-Out Effective DateDecember 6, 2021
Opt-Out In Effect ThroughDecember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

MICHELE ANN LOFT LMT, LAC
Acupuncturist
148 NICHOLS RD
NESCONSET, NY 11767
Suffolk County (631) 365-0154

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 Marie Surpris's NPI number?

The NPI number for Marie Surpris is 1295944981. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Marie Surpris located?

Marie Surpris practices at 148 Nichols Rd, Nesconset, NY 11767. The listed phone number is (631) 467-0867.

What is Marie Surpris's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Marie Surpris enrolled in Medicare?

No. Marie Surpris has opted out of Medicare through December 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marie Surpris was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.