Active NPI
Saddle River Valley Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 23238
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Saddle River Valley Surgical Center LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1032136 | Saddle River Valley Surgical Center LLC | Certificate of waiver | Oct 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Roslyn Heights, NY
- NPI 1093743320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.