Organization Active NPI

Surgaide 2 LLC

  • Specialist
  • Wayne, NJ
National Provider Identifier
1356533624
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGAIDE 2 LLC
Practice address
145 Route 46 W
Wayne, NJ 07470-6830
Phone
(973) 826-8287
Fax
(973) 513-6081
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Khashayar Vosough, MD
Title
MD/Owner
Phone
(973) 826-8287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

145 Route 46 W
Wayne, NJ 07470-6830

Mailing address

PO Box 4059
Wayne, NJ 07474-4059
Phone (973) 826-8287

National Provider Directory

National Provider Directory

Locations

60 Pompton Ave
Rear Plz
Verona, NJ 07044
Phone (973) 433-1071

145 Route 46 W
Wayne, NJ 07470
Phone (973) 826-8287

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1356533624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4059",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744059",
            "telephone_number": "973-826-8287",
            "fax_number": "973-513-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROUTE 46 W",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706830",
            "telephone_number": "973-826-8287",
            "fax_number": "973-513-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGAIDE 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "VOSOUGH",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "973-826-8287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.