Organization Active NPI

Saddle Surgery Center Corp

Doing business as PMA of NJ

  • Ambulatory Surgical Clinic/Center
  • Cedar Knolls, NJ
National Provider Identifier
1154673556
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
25MA07903700 Issued in NJ
Legal business name
SADDLE SURGERY CENTER CORP
Doing business as
PMA of NJ
Practice address
8 Saddle Rd
Suite 204
Cedar Knolls, NJ 07927-1902
Phone
(973) 998-7868
Fax
(973) 998-7883
NPI assigned
Oct 9, 2012
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Irina Kamenetskiy
Title
Manager
Phone
(973) 998-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 25MA07903700 NJ Primary

Addresses

Primary practice location

8 Saddle Rd
Suite 204
Cedar Knolls, NJ 07927-1902

Mailing address

8 Saddle Rd
Suite 204
Cedar Knolls, NJ 07927-1902
Phone (973) 998-7868

Other names 1

  • PMA of NJ Doing business as

National Provider Directory

National Provider Directory

Locations

8 Saddle Rd
Ste 204
Cedar Knolls, NJ 07927
Phone (973) 889-0049

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1154673556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SADDLE RD",
            "address_2": "SUITE 204",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271902",
            "telephone_number": "973-998-7868",
            "fax_number": "973-998-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SADDLE RD",
            "address_2": "SUITE 204",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271902",
            "telephone_number": "973-998-7868",
            "fax_number": "973-998-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE SURGERY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "KAMENETSKIY",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-998-7868"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "25MA07903700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMA of NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.