Active NPI
Ali R. Surahio
- Adult Mental Health Clinic/Center
- Watchung, NJ
National Provider Identifier
1255868956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 25MA09574700
- Legal business name
- ALI R. SURAHIO
- Practice address
- 10 Shawnee Dr
Suite B2
Watchung, NJ 07069-5803 - Phone
- (917) 932-3433
- NPI assigned
- May 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ali R. Surahio, M.D.
- Title
- MD/Psychiatrist
- Phone
- (917) 932-3433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 25MA09574700 | NJ | Primary |
Addresses
Primary practice location
10 Shawnee Dr
Suite B2
Watchung, NJ 07069-5803
Mailing address
306 W Morris Ave
Apartment 2
Linden, NJ 07036-4376
National Provider Directory
National Provider DirectoryLocations
10 Shawnee Dr
Ste B2
Watchung, NJ 07069
Phone (908) 834-8555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494547200000",
"number": "1255868956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W MORRIS AVE",
"address_2": "APARTMENT 2",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070364376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SHAWNEE DR",
"address_2": "SUITE B2",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070695803",
"telephone_number": "917-932-3433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI R. SURAHIO",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-12",
"last_updated": "2017-05-12",
"status": "A",
"authorized_official_last_name": "SURAHIO",
"authorized_official_first_name": "ALI",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "MD/PSYCHIATRIST",
"authorized_official_telephone_number": "917-932-3433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NJ",
"license": "25MA09574700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watchung, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.