Organization Active NPI

Northwest Jersey Surgical Associates

  • Medical Specialty Clinic/Center
  • Hamburg, NJ
National Provider Identifier
1194879957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA29965 Issued in NJ
Legal business name
NORTHWEST JERSEY SURGICAL ASSOCIATES
Practice address
71 State RT 23 N
Hamburg, NJ 07419-1408
Phone
(973) 827-2800
Fax
(973) 827-1495
NPI assigned
Jan 22, 2007
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
Sarat K Dash, M.DNPI 1275680563
Title
Owner
Phone
(973) 827-2800

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
Medical Specialty Clinic/Center 261QM2500X MA29965 NJ Primary

Addresses

Primary practice location

71 State RT 23 N
Hamburg, NJ 07419-1408

Mailing address

71 State RT 23 N
Hamburg, NJ 07419-1408
Phone (973) 827-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000010 NJ Part B Supplier - Clinic/Group Practice 8123155918 Receives reassigned benefits from 1 practitioner
Practice locations: Hamburg, NJ

National Provider Directory

National Provider Directory

Locations

500 Willow Grove St
Ste 1
Hackettstown, NJ 07840

89 Sparta Ave
Ste 270
Sparta, NJ 07871
Phone (570) 409-0123

Practitioners & affiliated clinicians

Practitioners 2

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194879957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 STATE RT 23 N",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191408",
            "telephone_number": "973-827-2800",
            "fax_number": "973-827-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 STATE RT 23 N",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191408",
            "telephone_number": "973-827-2800",
            "fax_number": "973-827-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST JERSEY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DASH",
        "authorized_official_first_name": "SARAT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-827-2800",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA29965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.