Organization Active NPI

Saddle River Valley Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Paramus, NJ
National Provider Identifier
1336209451
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23238 Issued in NJ
Legal business name
SADDLE RIVER VALLEY SURGICAL CENTER LLC
Practice address
1 W Ridgewood Ave
G3
Paramus, NJ 07652-2359
Phone
(201) 447-2676
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Channing Chin, MD
Title
Medical Director
Phone
(201) 447-2676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23238 NJ Primary

Addresses

Primary practice location

1 W Ridgewood Ave
G3
Paramus, NJ 07652-2359

Mailing address

1 W Ridgewood Ave Ste G3
Paramus, NJ 07652-2361
Phone (201) 447-2676

Other names 2

  • Bariatric & Specialty Surgery Center of Paramus Doing business as
  • Saddle River Valley Surgical Center LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060130000472 NJ Part B Supplier - Ambulatory Surgical Center 6507870524 Practice locations: Paramus, NJ

Ambulatory surgical center certification: CCN 31C0001191

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SADDLE RIVER VALLEY SURGICAL CENTER LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 8, 2005
Last certification
Sep 19, 2017
Ownership / control type
Proprietary
Facility address
1 West Ridgewood Avenue, Suite G-03
Paramus, NJ 07652

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1032136Saddle River Valley Surgical Center LLC1 West Ridgewood Avenue, Paramus, NJ 07652Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

1 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-3060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1336209451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE STE G3",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522361",
            "telephone_number": "201-447-2676",
            "fax_number": "201-447-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "G3",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-447-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE RIVER VALLEY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "CHANNING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-447-2676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bariatric & Specialty Surgery Center of Paramus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saddle River Valley Surgical Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.