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EDDY ST SURIN
NPI 1821896754
Nurse Practitioner - Psychiatric/Mental Health in Summit, NJ

Active since March 06, 2025PECOS EnrolledAccepts Medicare Assignment
99 BEAUVOIR AVE, SUMMIT, NJ 07901(908) 522-2000(908) 522-2280 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eddy St Surin NPPES

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

EDDY ST SURIN (NPI 1821896754) is an individual psychiatric/mental health provider in Summit, New Jersey, licensed in New Jersey (26NJ15088300) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821896754
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEDDY ST SURIN
Location Address99 BEAUVOIR AVESummit, NJ 07901-3533
Mailing Address99 Beauvoir AveSummit, NJ 07901-3533 · (908) 522-2000 · Fax (908) 522-2280
Phone(908) 522-2000
Fax(908) 522-2280
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1821896754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15088300
99 BEAUVOIR AVE, Summit, NJ 07901
Open in Google Maps ↗

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

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

Eddy St Surin 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 ID4880183235
PECOS Enrollment IDI20251028000010
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

DR. LAUREN H IM-IMAMURA D.O,
Family Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
MEHAK FARRUKH
Student in an Organized Health Care Education/Training Program
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
CYNTHIA E CROSS
Nurse Practitioner (Adult Health)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (973) 971-5595
DR. OLUMUYIWA ADEDOTUN IBIKUNLE M.D
Internal Medicine
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2000
SONA KHURANA D.O.
Hospitalist
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-6414
AHS HOSPITAL CORP
General Acute Care Hospital
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (848) 332-1879
JODIE DARLING M.S. RD
Dietitian, Registered
99 BEAUVOIR AVE, BOX 243
SUMMIT, NJ 07901
Union County (908) 522-5756
MRS. MARYNA KUZNETSOV M.D.
Radiology (Diagnostic Radiology)
99 BEAUVOIR AVE
SUMMIT, NJ 07901
Union County (908) 522-2065

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 Eddy St Surin's NPI number?

The NPI number for Eddy St Surin is 1821896754. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Eddy St Surin located?

Eddy St Surin practices at 99 Beauvoir Ave, Summit, NJ 07901. The listed phone number is (908) 522-2000.

What is Eddy St Surin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Eddy St Surin enrolled in Medicare?

Yes. Eddy St Surin 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.

Is Eddy St Surin affiliated with any hospitals?

According to CMS data, Eddy St Surin is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Eddy St Surin was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.