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SUGRIM MEDICAL OFFICE PLLC
NPI 1659676757
Family Medicine in South Richmond Hill, NY

Active since January 20, 2011CLIA 33D2022399 · Waiver
13106 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419(718) 322-5322(718) 322-5323 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sugrim Medical Office Pllc NPPES

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

SUGRIM MEDICAL OFFICE PLLC (NPI 1659676757) is a healthcare organization registered as a family medicine in South Richmond Hill, New York and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Surendra Sugrim, Owner, as its authorized official.

NPPES Registry Identity

NPI1659676757
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUGRIM MEDICAL OFFICE PLLC
Location Address13106 LIBERTY AVESouth Richmond Hill, NY 11419-3124
Mailing Address4717 157th StFlushing, NY 11355-2345
Phone(718) 322-5322
Fax(718) 322-5323
Organization SubpartNo
Authorized OfficialSurendra SugrimOwner · (718) 322-5322
Enumeration DateJanuary 20, 2011
Last NPPES UpdateMay 26, 2011
✔ NPI 1659676757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 254420
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13106 LIBERTY AVE, South Richmond Hill, NY 11419
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Other Identifiers 2

Medicaid03331257NY
Medicare PING100041140NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2022399

Sugrim Medical Office PLLC · South Richmond Hill, NY
Active · expires Mar 31, 2027
CLIA Number33D2022399
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDr. Surendra Sugrim
Laboratory Phone(718) 322-5322
Laboratory LocationSugrim Medical Office PLLC131-06 Liberty Avenue, South Richmond Hill, NY 11419
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. SURENDRA SUGRIM MD
Family Medicine
13106 LIBERTY AVE
SOUTH RICHMOND HILL, NY 11419
Queens County (718) 322-5322

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 Sugrim Medical Office PLLC's NPI number?

The NPI number for Sugrim Medical Office PLLC is 1659676757. It was assigned to this organization in the NPPES registry on January 20, 2011.

Where is Sugrim Medical Office PLLC located?

Sugrim Medical Office PLLC is located at 13106 Liberty Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 322-5322.

What is Sugrim Medical Office PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sugrim Medical Office PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2022399) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sugrim Medical Office PLLC was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.