TDG Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TDG SURGERY, LLC

Practice address

140 N Rte 17
Suite 105
Paramus, NJ 07652-2809

Phone

(973) 571-2121

NPI assigned

Jul 16, 2012

Organization subpart

Yes

Parent organization

THE DERMATOLOGY GROUPAs reported in NPPES

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

Authorized official

Name

Angela Short

Title

Vice President

Phone

(973) 571-2121

Specialties & licenses 1

Addresses

Part of

The Dermatology Group

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Dermatology Group

  • Dermatology Physician
  • West Orange, NJ
  • NPI 1962428474
  NPPES parent name

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1245585256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N RTE 17",
            "address_2": "SUITE 105",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522809",
            "telephone_number": "973-571-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N RTE 17",
            "address_2": "SUITE 105",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522809",
            "telephone_number": "973-571-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDG SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DERMATOLOGY GROUP",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "973-571-2121"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Talbot Hudson, RPH
• Didem Tan
• Carolina Tanzer, D.O
• Elzbieta Taracinska, PTA
• Rachel Taylor, LSW
• A. Leonard Teitz, MD
• Brianne Marie Teller, LCSW
• Albaliz Tello, MSW
• Olivia Templeton, LSW
• Agnieszka Teper, LCSW

• Ambulatory Surgical Clinic/Center in Paramus, NJ
• Providers in Paramus, 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 Oct 10, 2012; 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.