Organization Active NPI

Preferred Surgical Group, LLC.

  • Surgery Physician
  • Jersey City, NJ
National Provider Identifier
1144385493
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PREFERRED SURGICAL GROUP, LLC.
Practice address
550 Newark Ave
Suite 200
Jersey City, NJ 07306-1326
Phone
(201) 795-9155
Fax
(201) 795-9157
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohamed Fahmi Albashir, M.D.NPI 1174515761
Title
Owner
Phone
(718) 986-7734

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

550 Newark Ave
Suite 200
Jersey City, NJ 07306-1326

Mailing address

PO Box 6428
Jersey City, NJ 07306-0428
Phone (718) 986-7734

Other identifiers 1

IdentifierTypeStateIssuer
8578401MedicaidNJ

National Provider Directory

National Provider Directory

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144385493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6428",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073060428",
            "telephone_number": "718-986-7734",
            "fax_number": "201-795-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "SUITE 200",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061326",
            "telephone_number": "201-795-9155",
            "fax_number": "201-795-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED SURGICAL GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBASHIR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "FAHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-986-7734",
        "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": "8578401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.