Palisades Surgical Associates, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MB67108 Issued in NJ

Legal business name

PALISADES SURGICAL ASSOCIATES, P.C.

Practice address

690 Kinderkamack Rd Ste 202
Oradell, NJ 07649-1524

Phone

(888) 320-0922

Fax

(888) 909-4197

NPI assigned

Mar 30, 2007

Last updated

Nov 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maurizio Adriano Miglietta, D.O.NPI 1710973243

Title

President

Phone

(888) 320-0922

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maurizio A. Miglietta, DO

  • Surgical Critical Care Physician
  • Teaneck, NJ
  • NPI 1710973243

  Surgery

  Medicare reassignment NPD Authorized official
• Ashley Cleveland, PA-C

  • Dermatology Physician
  • Florham Park, NJ
  • NPI 1629884945

  Surgery

  NPD
• Stefanie Vaimakis, M.D.

  • Surgery Physician
  • Englewood, NJ
  • NPI 1396802633
  NPD
• Duane Fredericks, M.D.

  • Obesity Medicine (Family Medicine) Physician
  • South Orange, NJ
  • NPI 1184618886

  Surgery

  NPD (past)
• Elissa R. Gross, PSY.D

  • Clinical Psychologist
  • Cresskill, NJ
  • NPI 1063741833
  NPD (past)
• Vincent A. Iannace, MD

  • Surgery Physician
  • Holly Springs, NC
  • NPI 1952366171
  NPD (past)
• Fred Silvestri, M.D.

  • Surgery Physician
  • Jupiter, FL
  • NPI 1497740484
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731196800000",
    "number": "1255451746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEWARK AVE",
            "city": "POINT PLEASANT BEACH",
            "state": "NJ",
            "postal_code": "087424141",
            "telephone_number": "201-280-6150",
            "fax_number": "888-909-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 KINDERKAMACK RD STE 202",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491524",
            "telephone_number": "888-320-0922",
            "fax_number": "888-909-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "MIGLIETTA",
        "authorized_official_first_name": "MAURIZIO",
        "authorized_official_middle_name": "ADRIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-320-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MB67108",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NJ",
            "license": "MB67108",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "MB67108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7648707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; 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.