Riverside Surgical Center of Meadowlands, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RIVERSIDE SURGICAL CENTER OF MEADOWLANDS, LLC

Practice address

201 NJ-17
12TH Floor
Rutherford, NJ 07070

Phone

(201) 806-2678

Fax

(844) 494-7963

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Zain Haider

Title

Chief Administrative Officer

Phone

(201) 806-2678

Specialties & licenses 1

Addresses

Other names 1

• Riverside Surgical Center of Rutherford Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Riverside Surgical Center of RutherfordCCN 31C0001338

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1407317019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NJ-17",
            "address_2": "12TH FLOOR",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-806-2678",
            "fax_number": "844-494-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NJ-17",
            "address_2": "12TH FLOOR",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "07070",
            "telephone_number": "201-806-2678",
            "fax_number": "844-494-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SURGICAL CENTER OF MEADOWLANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "201-806-2678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Surgical Center of Rutherford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Surgical Center of Rutherford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Restore to Wellness Physical Therapy, P.C.
• Rhee Plastic Surgery LLC
• Samuel T. Rhee, M.D.
• Maria Magdalena Rincon-Lorenzo, DDS
• Silvana Lourdes Rivas, FNP
• Robert C. Graber D.M.D., P.a.
• Robust Living Therapy LLC
• Murray H Rothman, MD
• Mark Michael Rubin, DMD
• Lisa M Rusek, M.S., CCC-SLP

• Ambulatory Surgical Clinic/Center in Rutherford, NJ
• Providers in Rutherford, 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 Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.