Organization Active NPI

Ali R. Surahio

  • Adult Mental Health Clinic/Center
  • Watchung, NJ
National Provider Identifier
1255868956
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
25MA09574700 Issued in NJ
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

Updated by the provider on May 12, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.