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MRS. SURANGANEE MARY DE LANEROLLE MD NPI 1144302977


NPI Information

NPI: 1144302977
Provider Name: MRS. SURANGANEE MARY DE LANEROLLE, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
2500 NESCONSET HIGHWAY
STONYBROOK MEDICAL PARK BLDG 16A
STONYBROOK, NY
ZIP 11790
Phone: (631) 246-5454
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MRS. Suranganee Mary De Lanerolle, MD is a neurology psychiatry neurology in Stonybrook, NY with 56 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MRS. Suranganee Mary De Lanerolle, MD NPI is 1144302977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 NESCONSET HIGHWAY
STONYBROOK MEDICAL PARK BLDG 16A
STONYBROOK, NY
ZIP 11790
Phone: (631) 246-5454
Fax: (631) 246-5902

The NPI 1144302977 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and recording of brain wave (eeg) activity, awake and asleep (HCPCS:95819)
  • Interpretation and report of electrical activity of heart using 1-3 leads (HCPCS:93042)

The enumeration date for this NPI number is 10/20/2006 and was last updated on 11/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology152287NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100894654MEDICAIDNEW YORK
2CPNNOTHERWC
3CS733OTHEROXFORD
4107738500OTHERDEPT OF LABOR
5130015641OTHERRR MEDICARE
64318339OTHERAETNA
7AH46028OTHERMDNY
8M1522879OTHERWC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.