DR. JONATHAN SUDERMAN MD
NPI 1730070848
Urology in New York, NY

Q: What is Jonathan Suderman's NPI number?

The NPI number for Jonathan Suderman is 1730070848. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Q: What is Jonathan Suderman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Suderman was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 July 15, 2025PECOS Enrolled

1275 YORK AVE, NEW YORK, NY 10065(347) 798-9213 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jonathan Suderman Md NPPES

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

DR. JONATHAN SUDERMAN MD (NPI 1730070848) is an individual urology provider in New York, New York, licensed in New York (337242) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730070848

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. JONATHAN SUDERMANCredential: MD

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address1275 York AveNew York, NY 10065-6007 · (347) 798-9213

Phone(347) 798-9213

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 15, 2025

Last NPPES UpdateApril 20, 2026

NPPES CertifiedApril 20, 2026

✔ NPI 1730070848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NY · 337242

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1275 YORK AVE, New York, NY 10065

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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. Jonathan Suderman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789148891

PECOS Enrollment IDI20260709003527

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 10065 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

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

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.

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)