Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Suriano, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1275313165

Jack Suriano, PMHNP-BC is a Nurse Practitioner in Stony Brook, New York. Qualified in 2023, 3 years ago. Practices with Stony Brook Psychiatric Associates University Faculty Practice Corpor, a 101-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Putnam Hall
Stony Brook, NY 11794-0001
Phone: (631) 632-2428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Commack Rd, Commack, NY 11725-5020 — (631) 632-2428

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 405310-01 (NY)

Record details

NPI number1275313165
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 29, 2023
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Stony Brook