Organization Active NPI

One Surgical Specialists

  • Surgery Physician
  • Paramus, NJ
National Provider Identifier
1134422876
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA65318 Issued in NJ
Legal business name
ONE SURGICAL SPECIALISTS
Practice address
2 Sears Dr Ste 202
Paramus, NJ 07652-3539
Phone
(201) 343-3433
Fax
(201) 343-0420
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Jessica Diaz
Title
Office Manager
Phone
(201) 343-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MA65318 NJ Primary

Addresses

Primary practice location

2 Sears Dr Ste 202
Paramus, NJ 07652-3539

Mailing address

2 Sears Dr Ste 202
Paramus, NJ 07652-3539
Phone (201) 343-3433

Other names 1

  • Stephen Gomes Pereira MD LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119000184 NJ Part B Supplier - Clinic/Group Practice 4587843875 Receives reassigned benefits from 11 practitioners
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

90 Prospect Ave
Ste 1D
Hackensack, NJ 07601
Phone (201) 343-3433

2 Sears Dr
Ste 202
Paramus, NJ 07652
Phone (201) 343-3433

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1134422876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SEARS DR STE 202",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523539",
            "telephone_number": "201-343-3433",
            "fax_number": "201-343-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SEARS DR STE 202",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523539",
            "telephone_number": "201-343-3433",
            "fax_number": "201-343-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-343-3433"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA65318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen Gomes Pereira MD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.