Organization Active NPI

Heritage Surgical Group, LLC

  • Surgery Physician
  • Oakland, NJ
National Provider Identifier
1306271572
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA08710300 Issued in NJ
Legal business name
HERITAGE SURGICAL GROUP, LLC
Practice address
9 Post Rd Ste M9
Oakland, NJ 07436-1615
Phone
(201) 833-2888
Fax
(201) 833-1010
NPI assigned
Sep 6, 2013
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Kelley M Byrnes
Title
Manager
Phone
(201) 833-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 25MA08710300 NJ Primary

Addresses

Primary practice location

9 Post Rd Ste M9
Oakland, NJ 07436-1615

Mailing address

741 Teaneck Rd Ste B
Teaneck, NJ 07666-4262
Phone (201) 833-2888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1306271572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 TEANECK RD STE B",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664262",
            "telephone_number": "201-833-2888",
            "fax_number": "201-833-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POST RD STE M9",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361615",
            "telephone_number": "201-833-2888",
            "fax_number": "201-833-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-833-2888"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08710300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.