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JOSE SERRUYA, M.D.P.C.
NPI 1396985222
Specialist in Woodside, NY

Active since March 05, 2009
6907 43RD AVE, SUITE C2, WOODSIDE, NY 11377(718) 830-3772(718) 255-1841 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jose Serruya, M.d.p.c. NPPES

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

JOSE SERRUYA, M.D.P.C. (NPI 1396985222) is a healthcare organization registered as a specialist in Woodside, New York and active in the NPI registry since March 2009. The organization lists Jose I Serruya, President Of The Corporation, as its authorized official.

NPPES Registry Identity

NPI1396985222
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJOSE SERRUYA, M.D.P.C.
Location Address6907 43RD AVE, SUITE C2Woodside, NY 11377-9100
Mailing Address6907 43rd Ave, Suite C2Woodside, NY 11377-9100 · (718) 830-3772 · Fax (718) 255-1841
Phone(718) 830-3772
Fax(718) 255-1841
Organization SubpartNo
Authorized OfficialJose I SerruyaPresident Of The Corporation · (718) 830-3772
Enumeration DateMarch 5, 2009
✔ NPI 1396985222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 207927
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6907 43RD AVE, Woodside, NY 11377
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Serruya, M.d.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jose Serruya, M.D.P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jose Serruya, M.D.P.C.
Neurology
NPI 1609850296
6907 43RD AVE SUITE C 2
Woodside, NY 11377
(718) 830-3772
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jose Serruya, M.D.P.C.'s NPI number?

The NPI number for Jose Serruya, M.D.P.C. is 1396985222. It was assigned to this organization in the NPPES registry on March 5, 2009.

Where is Jose Serruya, M.D.P.C. located?

Jose Serruya, M.D.P.C. is located at 6907 43rd Ave Suite C2, Woodside, NY 11377. The listed phone number is (718) 830-3772.

What is Jose Serruya, M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jose Serruya, M.D.P.C. enrolled in Medicare?

Yes. Jose Serruya, M.D.P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jose Serruya, M.D.P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Jose Serruya, M.D.P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jose Serruya, M.D.P.C. was last updated on March 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.