Organization Active NPI

Aldo Suraci MD PC

Doing business as Suraci & Srinivasan Urologic Associates

  • Urology Physician
  • Berwick, PA
National Provider Identifier
1689674269
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD027971F Issued in PA
Legal business name
ALDO SURACI MD PC
Doing business as
Suraci & Srinivasan Urologic Associates
Practice address
1009 Fowler Ave
Berwick, PA 18603-2305
Phone
(570) 759-6491
Fax
(570) 759-2440
NPI assigned
Jul 26, 2005
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Dr. Aldo John Suraci, MDNPI 1124028899
Title
Owner/Director
Phone
(570) 759-6491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD027971E PA
Urology Physician 208800000X MD027971F 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
1007626300005MedicaidPA

Other names 1

  • Suraci & Srinivasan Urologic Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1009 Fowler Ave
Berwick, PA 18603
Phone (570) 450-6333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1689674269",
    "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": {
        "organization_name": "ALDO SURACI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "SURACI",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "570-759-6491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD027971E",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD027971F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007626300005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suraci & Srinivasan Urologic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwick, PA

Sources for this page

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