Northern New Jersey Surgical Specialists PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTHERN NEW JERSEY SURGICAL SPECIALISTS PC

Practice address

185 Cedar LN FL 1
Teaneck, NJ 07666-4316

Phone

(917) 250-4958

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Panagiotis Manolas, MD

Title

Owner

Phone

(917) 250-4958

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1134710866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN FL 1",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN FL 1",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "917-250-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW JERSEY SURGICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "MANOLAS",
        "authorized_official_first_name": "PANAGIOTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-250-4958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Teaneck, NJ
• Providers in Teaneck, 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 Jan 26, 2021; 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.