Organization Active NPI

Ramapo Valley Surgical Associates Prof Corp

  • Surgery Physician
  • Suffern, NY
National Provider Identifier
1003908880
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RAMAPO VALLEY SURGICAL ASSOCIATES PROF CORP
Practice address
100 Route 59
Ramapo Valley Surgical Associates PC Ste 101
Suffern, NY 10901-4927
Phone
(845) 357-8800
Fax
(845) 357-0086
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mr. Mel Ponte
Title
Practice Administrator
Phone
(845) 357-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

100 Route 59
Ramapo Valley Surgical Associates PC Ste 101
Suffern, NY 10901-4927

Mailing address

100 Route 59
Ramapo Valley Surgical Associates PC Ste 101
Suffern, NY 10901-4927
Phone (845) 357-8800

Other identifiers 1

IdentifierTypeStateIssuer
01366247MedicaidNY

National Provider Directory

National Provider Directory

Locations

100 Route 59
Ste 101
Suffern, NY 10901
Phone (845) 357-8800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1003908880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "RAMAPO VALLEY SURGICAL ASSOCIATES PC STE 101",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-8800",
            "fax_number": "845-357-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "RAMAPO VALLEY SURGICAL ASSOCIATES PC STE 101",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-357-8800",
            "fax_number": "845-357-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMAPO VALLEY SURGICAL ASSOCIATES PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "PONTE",
        "authorized_official_first_name": "MEL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "845-357-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01366247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.