Surgaide 3 LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SURGAIDE 3 LLC

Practice address

35 Horizon Dr
Wayne, NJ 07470-4964

Phone

(973) 458-0114

Fax

(973) 458-0661

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Khashayar Vosough, MD

Title

MD/Owner

Phone

(973) 458-0114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1164614442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4397",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070128397",
            "telephone_number": "973-458-0114",
            "fax_number": "973-458-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HORIZON DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704964",
            "telephone_number": "973-458-0114",
            "fax_number": "973-458-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGAIDE 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "VOSOUGH",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "973-458-0114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.