Individual provider Active NPI

Aldo Suraci, MD

  • Urology Physician
  • Berwick, PA
National Provider Identifier
1124028899
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD027971E Issued in PA
Practice address
1009 Fowler Ave
Berwick, PA 18603-2305
Phone
(570) 759-6491
Fax
(570) 759-2440
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD027971E PA Primary

Addresses

Primary practice location

1009 Fowler Ave
Berwick, PA 18603-2305

Mailing address

1009 Fowler Ave
Berwick, PA 18603-2305
Phone (570) 759-6491

Other identifiers 1

IdentifierTypeStateIssuer
0010856750002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902001122 PA Practitioner - Urology 2264556828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1124028899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 FOWLER AVE",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032305",
            "telephone_number": "570-759-6491",
            "fax_number": "570-759-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 FOWLER AVE",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032305",
            "telephone_number": "570-759-6491",
            "fax_number": "570-759-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURACI",
        "first_name": "ALDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD027971E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010856750002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

Verify at the official NPI Registry.