Active NPI
Ramapo Valley Surgical Associates Prof Corp
- Surgery Physician
- Suffern, NY
National Provider Identifier
1003908880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01366247 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- West Nyack, NY
- NPI 1275541021
-
- Surgical Physician Assistant
- Suffern, NY
- NPI 1033329933
-
- Physician Assistant
- Suffern, NY
- NPI 1649425695
-
- Surgical Physician Assistant
- Mahwah, NJ
- NPI 1235129669
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.