Pediatric Surgicalcare, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA08195900 Issued in NJ

Legal business name

PEDIATRIC SURGICALCARE, LLC

Practice address

313 Bedford Rd
Ridgewood, NJ 07450-1327

Phone

(201) 225-0029

Fax

(201) 225-0031

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Alexander, M.D.

Title

Owner/Physcian

Phone

(201) 225-0029

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1124459714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BEDFORD ROAD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-225-0029",
            "fax_number": "201-225-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BEDFORD RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501327",
            "telephone_number": "201-225-0029",
            "fax_number": "201-225-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SURGICALCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER/PHYSCIAN",
        "authorized_official_telephone_number": "201-225-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08195900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D. Kreisinger, LCSW, LLC
• Franklin E Paulino, M.D.
• Dana Pavese, ED.S., LPC
• Haleh Pazwash, M.D.
• Pediatric Dental Associates LLC
• Moti Peleg, PHD, DSW
• Gilda E Perez, L.AC.
• Magda Perillo, LCSW
• Beth Peritz, LCSW
• Jessica Perkins, PA

• Specialist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.