J Surani PA

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

ME103068 Issued in FL

Legal business name

J SURANI PA

Practice address

777 37TH St Ste B102
Vero Beach, FL 32960-4897

Phone

(772) 569-3212

Fax

(772) 569-1435

NPI assigned

Nov 22, 2010

Last updated

Apr 5, 2012By 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

Peggie Calahan

Title

Billing

Phone

(772) 569-3212

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1164724340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE B102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604897",
            "telephone_number": "772-569-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE B102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604897",
            "telephone_number": "772-569-3212",
            "fax_number": "772-569-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SURANI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "CALAHAN",
        "authorized_official_first_name": "PEGGIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "772-569-3212"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME103068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003053900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002948500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Health Concierge Medicine, Inc (Island Health Concierge Medicine)
• Island Pediatrics
• Orit Israel, PT
• Salomon Israel, DDS
• J Robin Atwell,MD PA
• Michelle Maria Jabeth-Bacon, ARNP
• Rebecca Jacinthe
• Anne Jackson, PT
• Harley Christina Jackson
• Jill Kimberly Jackson, MD

• Pediatric Adolescent Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.