Surgicare Surgical Associates of Mahwah, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICARE SURGICAL ASSOCIATES OF MAHWAH, LLC

Practice address

400 Franklin Tpke
Mahwah, NJ 07430-3516

Phone

(201) 791-4544

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

John Hajjar, MD

Title

President

Phone

(201) 791-4544

Specialties & licenses 1

Addresses

Listed as

Surgicare Surgical Associates of Mahwah LLCCCN 31C0001242

Medicare certification status

Terminated Voluntary: merger or closure, Apr 28, 2023From the Provider of Services file

Locations

Practitioners 1

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

• Jason E Fond, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Nanuet, NY
  • NPI 1003913807
  NPD

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": "1235321571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491517",
            "telephone_number": "201-834-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANKLIN TPKE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303516",
            "telephone_number": "201-791-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE SURGICAL ASSOCIATES OF MAHWAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-791-4544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Care Management and Counseling, LLC
• Sports Medicine Center of Bergen, PA (Excel Orthopedic Rehabilitation)
• Corrin Stach, LMT
• Amanda Starcev, LCSW
• Jai Sue, C.A.
• Jill Marie Sussman
• Swifthealth LLC
• Melissa Taveras
• The Diabetes Foundation Inc
• The Valley Hospital Inc.

• Ambulatory Surgical Clinic/Center in Mahwah, NJ
• Providers in Mahwah, 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 Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.