Northeastern Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

25MA06938000 Issued in NJ

Legal business name

NORTHEASTERN SURGERY CENTER

Practice address

220 Ridgedale Ave
C-1
Florham Park, NJ 07932-1361

Phone

(973) 925-6565

Fax

(973) 295-6567

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph P Fodero, M.D.NPI 1073541314

Title

Director

Phone

(973) 295-6565

Specialties & licenses 1

Addresses

Locations

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.

• Joseph P Fodero Jr., M.D.

  • Specialist
  • Florham Park, NJ
  • NPI 1073541314
  Authorized official Same address or phone

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1366852956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RIDGEDALE AVE",
            "address_2": "C-1",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321361",
            "telephone_number": "973-925-6565",
            "fax_number": "973-295-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RIDGEDALE AVE",
            "address_2": "C-1",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321361",
            "telephone_number": "973-925-6565",
            "fax_number": "973-295-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "FODERO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-295-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "25MA06938000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NJ Family and Addiction Institute
• NJ Recovery & Wellness, LLC
• NJ Recovery Solutions LLC
• North Jersey Sleep Solutions
• Northeast Facial and Oral Surgery Specialists, LLC
• Mathieu Novack, MD
• Daniel S Nunes, PHARMB
• John P O'Grady, M.D.
• Kwame A Ohemeng, M.D.
• Mark Theodore Olesnicky II, MD

• Ambulatory Surgical Clinic/Center in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

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