Organization Active NPI

S. Swamy Surasi, MDPC

  • Urology Physician
  • Brooklyn, NY
National Provider Identifier
1750556403
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
S. SWAMY SURASI, MDPC
Practice address
142 Joralemon St Ste 9B
Brooklyn
Brooklyn, NY 11201-4709
Phone
(718) 596-4400
Fax
(718) 596-3332
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Dr. Srikrishna Swamy Surasi, M.D.
Title
President
Phone
(718) 596-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

142 Joralemon St Ste 9B
Brooklyn
Brooklyn, NY 11201-4709

Mailing address

142 Joralemon St
Ste 9B
Brooklyn, NY 11201-4709
Phone (718) 596-4400

Other identifiers 2

IdentifierTypeStateIssuer
00700096MedicaidNY
33A221OtherNYP10

Other names 1

  • S. Surasi, MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1750556403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "STE 9B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "718-596-4400",
            "fax_number": "718-596-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST STE 9B",
            "address_2": "BROOKLYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014709",
            "telephone_number": "718-596-4400",
            "fax_number": "718-596-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. SWAMY SURASI, MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "SURASI",
        "authorized_official_first_name": "SRIKRISHNA",
        "authorized_official_middle_name": "SWAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-596-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00700096",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10",
            "identifier": "33A221",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S. Surasi, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.