Englewood Surgical Associates, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA03498600 Issued in NJ

Legal business name

ENGLEWOOD SURGICAL ASSOCIATES, PA

Practice address

375 Engle St
Englewood, NJ 07631-1823

Phone

(201) 894-0400

NPI assigned

May 31, 2006

Last updated

Apr 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barry Sussman, MDNPI 1801881487

Title

Partner

Phone

(201) 894-0400

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry Sussman

  • Surgery Physician
  • Englewood, NJ
  • NPI 1801881487
  NPD (past) Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1033156948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311823",
            "telephone_number": "201-894-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311823",
            "telephone_number": "201-894-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-894-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03498600",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA03498600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE GROUP #",
            "identifier": "CF1739",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8169403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Englewood Psychotherapy and Wellness, LLC
• Englewood Radiation Oncology, LLC
• Englewood Radiologic Group P a
• Englewood Speech Therapy LLC
• Englewood Spine Associates LLC
• Englewood Surgical Services, LLC
• Englewood Volunteer Ambulance Corps
• Englewood Women's Health PC
• Englewood Women's Health, PC
• Sean Enis, MD

• Surgery Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.