Vadim Surikov, DO is a
Physical Medicine & Rehabilitation - Pain Medicine physician based in West New York, New Jersey. Vadim Surikov is licensed to practice in New Jersey (license number 25MB07578900) and his current practice location is 5600 Kennedy Blvd, Suite 102, West New York, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 866-3100.
NPI number for Vadim Surikov is 1962529586 and his current mailing address is 5600 Kennedy Blvd, Suite 102, West New York, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962529586.
Physician's Profile
| Full Name | Vadim Surikov |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 5600 Kennedy Blvd, West New York, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962529586
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 02/08/2008
Medical Identifiers
Medical identifiers for Vadim Surikov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962529586 | NPI | - | NPPES |
| 0076929 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 25MB07578900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vadim Surikov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Vadim Surikov, DO 5600 Kennedy Blvd, Suite 102, West New York, NJ 07093 Ph: (201) 866-3100 | Vadim Surikov, DO 5600 Kennedy Blvd, Suite 102, West New York, NJ 07093 Ph: (201) 866-3100 |
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