Active NPIIndividual provider

Dr. Daxa Surti, MD

Pediatrics in West New York, New Jersey

NPI Number1598719684
Practice location
5301 Broadway, West New York, NJ 07093-2622
Fax
—
Last updated
March 13, 2012

Daxa Surti is a Pediatrics based in West New York, NJ. Daxa Surti practices in West New York, NJ and has the professional credentials of MD. The NPI Number for Daxa Surti is 1598719684 and holds a License No. 25MA06048402 (NJ). The current practice location address for Daxa Surti is 5301 Broadway, West New York, NJ 07093-2622 and can be reached out via phone at 201-866-9320.

Provider Profile Details

NPI Number
1598719684
Provider Name
Daxa Surti
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5301 Broadway, West New York, NJ 07093-2622
Phone Number
201-866-9320
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
May 21, 2006
Last Update Date
March 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
5301 Broadway
West New York, NJ 07093-2622
Zip
07093-2622
Phone Number
201-866-9320
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
363 Manhattan St
Staten Island, NY 10307-1808
City
Staten Island
State
NY
Zip
10307-1808

License Information

License Number
25MA06048402
License State
NJ
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Daxa Surti, MD?

The NPI number of Dr. Daxa Surti, MD is 1598719684. It was assigned on May 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Daxa Surti, MD?

Dr. Daxa Surti, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA06048402.

Where does Dr. Daxa Surti, MD practice?

The practice location is 5301 Broadway, West New York, NJ 07093-2622. The office can be reached at 201-866-9320 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598719684 directly on the NPPES registry website.

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