DR. ALI R SURAHIO (NPI# 1558764910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558764910 |
| Entity Type | Individual |
| Full Name | DR. ALI R SURAHIO |
| Credential | M.D. |
| Practice Address |
655 E Jersey St Elizabeth NJ 07206-1259 |
| Practice Telephone | 9089947207 |
| Mailing Telephone | 9089947207 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA09574700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
655 E JERSEY ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07206-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129802 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2005-07-26 |
| 1619580032 | Nariman Konjkavfard | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-25 |
| 1316559347 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-20 |
| 1497367528 | Orrin Paul Main | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-19 |
| 1750993010 | Benedict Nagar Garma | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-18 |
| 1235741596 | Anup Ojha | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-08-18 |
| 1275142416 | Siddhi Ganesha Inc | Pharmacy | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-07-23 |
| 1639703663 | Melanie Anne Andrade-ramos | Social Worker | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2020-02-28 |
| 1871137356 | Shirley Messina | Nurse Practitioner | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2019-10-29 |
| 1558915496 | Andre D Trzaskowski | Student in an Organized Health Care Education/Training Program | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2019-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235791310 | Mars Premier Care LLC | Day Training, Developmentally Disabled Services | 210 Monsignor Kemezis Place, Elizabeth, NJ 07206 | 2019-06-28 |
| 1588151898 | Kathleen Michelle Dewyke | Psychiatry & Neurology | 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 | 2018-04-23 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| 1558683987 | Susan Nestler Wohlgemuth | Counselor | 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 | 2010-02-26 |
| 1053540807 | Krista Shea Hasenfus | Social Worker | 655 East Jersey Street, Elizabeth, NJ 07206 | 2009-07-14 |
| 1396940193 | Danielle Pompey | Social Worker | 655 East Jersey Stereet, Dept. Behavioral Health & Psychiatry, Elizabeth, NJ 07206 | 2007-06-20 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1376661264 | Patricia F. Traynham | Registered Nurse | New Point Campus, 655 East Jersey Avenue, Elizabeth, NJ 07206 | 2007-03-27 |
| 1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
| 1184719312 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E. Jersey Street, Residential Services, Elizabeth, NJ 07206 | 2006-10-04 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548736531 | Conscientiamd | Psychiatry & Neurology | 650-652 Newark Avenue, 1st Floor, Elizabeth, NJ 07208 | 2018-10-17 |
| 1588151898 | Kathleen Michelle Dewyke | Psychiatry & Neurology | 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 | 2018-04-23 |
| 1861464364 | Joseph Marc Verret | Psychiatry & Neurology | 654 E Jersey St, Elizabeth, NJ 07206-1261 | 2006-02-07 |
| 1093293839 | Eronmwon Okoye | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2018-08-03 |
| 1558800482 | Psychiatry & Mental Health LLC | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2017-02-12 |
| 1760838148 | Jennifer Taylor | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2016-05-04 |
| 1841697109 | Nirmal I. Trivedi | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2014-12-01 |
| 1770905176 | Farhan Siddiqui | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2014-01-20 |
| 1225465834 | Sari Lehrhoff | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2013-09-27 |
| 1215379326 | Ruby Mangsatabam | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2013-07-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.