Samwell Surgical

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAMWELL SURGICAL

Doing business as

Englewood Cliffs Surgery Center

Practice address

520 Sylvan Ave Ste 102
Englewood Cliffs, NJ 07632-3062

Phone

(732) 943-7703

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jay Shah, MDNPI 1639574429

Title

Physician/Owner

Phone

(732) 827-7249

Specialties & licenses 1

Addresses

Other names 1

• Englewood Cliffs Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Ambulatory surgical center certification: CCN 31C0001368

Legal name

ENGLEWOOD CLIFFS SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 17, 2024

Last certification

Aug 29, 2024

Facility address

520 Sylvan Ave, Ste 102
Englewood Cliffs, NJ 07632

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jay M Shah, MD

  • Interventional Pain Medicine Physician
  • Colonia, NJ
  • NPI 1639574429
  NPD (past) Authorized official
• Kishan Arvind Sitapara, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1285165431
  NPD
• Nyla Ramsumair

  • Licensed Practical Nurse
  • Bronx, NY
  • NPI 1073143558
  NPD

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1164118147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SYLVAN AVE STE 102",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323062",
            "telephone_number": "732-943-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SYLVAN AVE STE 102",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323062",
            "telephone_number": "732-943-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMWELL SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "732-827-7249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englewood Cliffs Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Englewood Cliffs Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Roy Sadarangani, ANP-BC
• Asma J Sadiq, M.D
• Saem Wellness LLC
• Noel Barbara Salem, MD
• Richard Louis Salzer Jr., MD
• Baldev Singh Sandhu, M,D.,
• Marie M Sarubbi, NP
• Katelyn Schlemm
• Ekaterina Semeniuta
• Haengeui Seo

• Ambulatory Surgical Clinic/Center in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.