Organization Active NPI

West Parkway Ambulatory Surgery

  • Ambulatory Surgical Clinic/Center
  • Pompton Plains, NJ
National Provider Identifier
1366441024
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23218 Issued in NJ
Legal business name
WEST PARKWAY AMBULATORY SURGERY
Practice address
97 W Parkway
Pompton Plains, NJ 07444-1647
Phone
(973) 831-5461
Fax
(973) 831-5203
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Cheryl Ezerskis
Title
Executive Director
Phone
(973) 831-5461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23218 NJ Primary

Addresses

Primary practice location

97 W Parkway
Pompton Plains, NJ 07444-1647

Mailing address

PO Box 515
Pompton Plains, NJ 07444-0515
Phone (973) 831-5461

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1366441024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074440515",
            "telephone_number": "973-831-5461",
            "fax_number": "973-831-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 W PARKWAY",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441647",
            "telephone_number": "973-831-5461",
            "fax_number": "973-831-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARKWAY AMBULATORY SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "EZERSKIS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-831-5461"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.