NPIMap

Organization Active NPI

Pediatric Surgical Associates,P.a.

  • Specialist
  • Paramus, NJ
National Provider Identifier
1386934610
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA036957 Issued in NJ
Legal business name
PEDIATRIC SURGICAL ASSOCIATES,P.A.
Practice address
30 W Century Rd
#235
Paramus, NJ 07652-1433
Phone
(201) 225-9440
Fax
(201) 225-9430
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Dr. Rajinder P Gandhi, M.D.NPI 1184716953
Title
President
Phone
(201) 225-9440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA036957 NJ Primary

Addresses

Primary practice location

30 W Century Rd
#235
Paramus, NJ 07652-1433

Mailing address

30 W Century Rd
#235
Paramus, NJ 07652-1433
Phone (201) 225-9440

National Provider Directory

National Provider Directory

Locations

30 W Century Rd
Ste 235
Paramus, NJ 07652
Phone (201) 225-9440

Practitioners & affiliated clinicians

Practitioners 3

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": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1386934610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "address_2": "#235",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "201-225-9440",
            "fax_number": "201-225-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD",
            "address_2": "#235",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521433",
            "telephone_number": "201-225-9440",
            "fax_number": "201-225-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SURGICAL ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "RAJINDER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-225-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA036957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 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.