McBride Surgical Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MCBRIDE SURGICAL CENTER, LLC

Practice address

1167 McBride Ave
Woodland Park, NJ 07424-2556

Phone

(973) 837-6150

Fax

(973) 837-6149

NPI assigned

Nov 16, 2011

Last updated

Nov 20, 2012By 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

Mr. Nadim Abou-Said

Title

Owner

Phone

(973) 837-6150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1255618468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242556",
            "telephone_number": "973-837-6150",
            "fax_number": "973-837-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242556",
            "telephone_number": "973-837-6150",
            "fax_number": "973-837-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBRIDE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "ABOU-SAID",
        "authorized_official_first_name": "NADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-837-6150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anel Iveth Marquez, AGPCNP-BC
• Shannon Marren, PA-C
• Michael Joseph Martino, MD
• McBride Anesthesia LLC
• McBride Imaging Center LLC
• Medpro Solutions
• Donna Mosslehi, LPC
• Sarah M Mourad, DMD
• New Jersey Advanced Gastroenterology, LLC
• New Jersey Travel Clinic, LLC

• Clinic/Center in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.