Organization Active NPI

Professional Associates in Surgery, LLP

  • Surgery Physician
  • West Orange, NJ
National Provider Identifier
1124229349
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PROFESSIONAL ASSOCIATES IN SURGERY, LLP
Practice address
101 Old Short Hills Road
Suite 206
West Orange, NJ 07052
Phone
(973) 731-5005
Fax
(973) 325-6230
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Dr. Vivek Maheshwari, M.D.NPI 1447232558
Title
Owner
Phone
(973) 731-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

101 Old Short Hills Road
Suite 206
West Orange, NJ 07052

Mailing address

101 Old Short Hills Road
Suite 206
West Orange, NJ 07052
Phone (973) 731-5005

Other identifiers 1

IdentifierTypeStateIssuer
8784507MedicaidNJ

National Provider Directory

National Provider Directory

Locations

101 Old Short Hills Rd
Ste 206
West Orange, NJ 07052
Phone (973) 731-5005

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/hk3a_n9kE2iADMEcT-8aONHluTmOxrTW/

Practitioners & affiliated clinicians

Practitioners 1

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1124229349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 206",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-731-5005",
            "fax_number": "973-325-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS ROAD",
            "address_2": "SUITE 206",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-731-5005",
            "fax_number": "973-325-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ASSOCIATES IN SURGERY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "MAHESHWARI",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-731-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8784507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.