MEDICARE: DR. GAUTAM C SURANA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	25MA03494800	NJ
2	207R00000X	Internal Medicine Physician	25MA03494800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437144391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAUTAM C SURANA MD

Provider Business Mailing Address
First Line	:	520 WESTFIELD AVE
Second Line	:	SUITE 305
City	:	ELIZABETH
State	:	NJ
Zip	:	07208-1658
Country	:	US
Telephone Number	:	908-351-4511
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 WESTFIELD AVE
Second Line	:	SUITE 305
City	:	ELIZABETH
State	:	NJ
Zip	:	07208-1658
Country	:	US
Telephone Number	:	908-451-3511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	12/28/2016

Similar Medicare Providers

1437119146 — DR. ROSALIE V MATOS DDS
Practice Location Address:

520 WESTFIELD AVE STE 301
ELIZABETH, NJ
07208-1658

Practice Phone: 908-469-4375
Practice Fax: 908-469-4376

1053418459 — DR. MANISH S PATEL MD
Practice Location Address:

520 WESTFIELD AVE , SUITE 306
ELIZABETH, NJ
07208-1658

Practice Phone: 908-994-1044
Practice Fax:

1255401840 — DR. JORGE A MATOS D.D.S., C.A.G.S.
Practice Location Address:

520 WESTFIELD AVE , SUITE 206
ELIZABETH, NJ
07208-1658

Practice Phone: 908-354-4428
Practice Fax:

1154533594 — DEENA INVALID COACH, INC.
Practice Location Address:

520 WESTFIELD AVE , 202A
ELIZABETH, NJ
07208-1658

Practice Phone: 908-353-1989
Practice Fax: 908-353-0036

1841409752 — MIRACLE INVALID COACH
Practice Location Address:

520 WESTFIELD AVE , SUITE 203
ELIZABETH, NJ
07208-1658

Practice Phone: 908-355-2235
Practice Fax: 908-355-3116

1801055447 — MANISH PATEL MD PC
Practice Location Address:

520 WESTFIELD AVE , SUITE 306
ELIZABETH, NJ
07208-1658

Practice Phone: 908-994-1044
Practice Fax:

Directions to “ DR. GAUTAM C SURANA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.