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FAMILY MEDICINE OF NORTHERN NEW YORK
NPI 1992112387
Family Medicine in Watertown, NY

Active since July 17, 2014
20053 SUMMIT VIEW BLVD STE 1, WATERTOWN, NY 13601(315) 755-2560(315) 755-2597 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Medicine Of Northern New York NPPES

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

FAMILY MEDICINE OF NORTHERN NEW YORK (NPI 1992112387) is a healthcare organization registered as a family medicine in Watertown, New York and active in the NPI registry since July 2014. The organization lists Jill Laureano-surber, Owner, as its authorized official.

NPPES Registry Identity

NPI1992112387
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJILL M LAUREANO SURBER DO PC
Location Address20053 SUMMIT VIEW BLVD STE 1Watertown, NY 13601-2170
Mailing Address20053 Summit View Blvd Ste 1Watertown, NY 13601-2170 · (315) 755-2560 · Fax (315) 755-2597
Phone(315) 755-2560
Fax(315) 755-2597
Organization SubpartNo
Authorized OfficialJill Laureano-surberOwner · (315) 755-2560
Enumeration DateJuly 17, 2014
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1992112387 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 · 271910
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.
20053 SUMMIT VIEW BLVD STE 1, Watertown, NY 13601
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Other Names 1

Doing Business AsFamily Medicine Of Northern New York

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medicine Of Northern New York is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Family Medicine Of Northern New York, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Jill Laureano-Surber, DO
Family Practice
NPI 1437443132
20053 SUMMIT VIEW BLVD STE 1
Watertown, NY 13601
(315) 755-2560
✔ PECOSSame address
Michaela Mccargar, FNP
Nurse Practitioner
NPI 1023764487
20053 SUMMIT VIEW BLVD STE 1
Watertown, NY 13601
(315) 755-2560
✔ PECOSSame address
Jennifer Patterson, N.P.
Nurse Practitioner
NPI 1144616962
20053 SUMMIT VIEW BLVD SUITE 1
Watertown, NY 13601
(315) 755-2560
✔ PECOSSame address
Hali Reid, NP
Nurse Practitioner
NPI 1942910674
20053 SUMMIT VIEW BLVD STE 1
Watertown, NY 13601
(315) 755-2560
✔ PECOSSame address
Elissa Townsend, FNP-C
Nurse Practitioner
NPI 1629328422
20053 SUMMIT VIEW BLVD STE 1B
Watertown, NY 13601
(315) 755-2560
✔ PECOSSame 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 Jill M Laureano Surber Do PC's NPI number?

The NPI number for Jill M Laureano Surber Do PC is 1992112387. It was assigned to this organization in the NPPES registry on July 17, 2014. The provider is doing business as Family Medicine Of Northern New York.

Where is Jill M Laureano Surber Do PC located?

Jill M Laureano Surber Do PC is located at 20053 Summit View Blvd Ste 1, Watertown, NY 13601. The listed phone number is (315) 755-2560.

What is Jill M Laureano Surber Do PC's specialty?

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

Is Jill M Laureano Surber Do PC enrolled in Medicare?

Yes. Jill M Laureano Surber Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jill M Laureano Surber Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Jill M Laureano Surber Do PC. 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. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jill M Laureano Surber Do PC was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.