Active NPI
Suresh P Amina, MD
- Urology Physician
- New Castle, PA
National Provider Identifier
1750394102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD038171L
- Practice address
- 2623 Wilmington Rd
Suite B
New Castle, PA 16105-1529 - Phone
- (724) 658-7790
- Fax
- (724) 658-5767
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD038171L | PA | Primary |
Addresses
Primary practice location
2623 Wilmington Rd
Suite B
New Castle, PA 16105-1529
Mailing address
2623 Wilmington Rd
Suite B
New Castle, PA 16105-1529
Phone (724) 658-7790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0836704 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1750394102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 WILMINGTON RD",
"address_2": "SUITE B",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051529",
"telephone_number": "724-658-7790",
"fax_number": "724-658-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 WILMINGTON RD",
"address_2": "SUITE B",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161051529",
"telephone_number": "724-658-7790",
"fax_number": "724-658-5767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMINA",
"first_name": "SURESH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD038171L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0836704",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.