Sureshbabu Kurra MD LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

40442 Issued in NJ

Legal business name

SURESHBABU KURRA MD LLC

Practice address

7 Hyde Park PL
Sparta, NJ 07871-1152

Phone

(201) 213-4021

NPI assigned

Jan 18, 2010

Last updated

Jan 18, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sureshbabu Kurra, MD

Title

President

Phone

(201) 213-4021

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1093046807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W CENTRAL AVE",
            "city": "EAST BANGOR",
            "state": "PA",
            "postal_code": "180132116",
            "telephone_number": "201-213-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HYDE PARK PL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711152",
            "telephone_number": "201-213-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESHBABU KURRA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "KURRA",
        "authorized_official_first_name": "SURESHBABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-213-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "40442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.