Kleedy St Surin, PA
NPI 1760904163 · Physician Assistant · Staten Island, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kleedy St Surin, PA is a Physician Assistant provider in Staten Island, NY (NPI 1760904163).
Provider details
- NPI number
- 1760904163
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 021007 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-07
- Last updated
- 2020-10-23
- Certified
- 2020-10-23
Frequently asked questions
- What is Kleedy St Surin's NPI number?
- Kleedy St Surin's National Provider Identifier (NPI) is 1760904163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kleedy St Surin's specialty?
- Kleedy St Surin is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kleedy St Surin located?
- Kleedy St Surin's practice location on file with NPPES is 475 Seaview Ave, Staten Island, NY 10305-3436.
- What is Kleedy St Surin's phone number?
- The practice phone number listed in the NPPES registry for Kleedy St Surin is (718) 226-9000.
- Does Kleedy St Surin accept Medicare?
- Kleedy St Surin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kleedy St Surin's NPI active?
- Yes — Kleedy St Surin's NPI (1760904163) is active in the NPPES registry as of the last update on 2020-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.