Active NPI
Surgiplex LLC
- Ambulatory Surgical Clinic/Center
- Paramus, NJ
National Provider Identifier
1417044744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 2715
- Legal business name
- SURGIPLEX LLC
- Practice address
- 122 E Ridgewood Ave
Paramus, NJ 07652-4038 - Phone
- (201) 967-1212
- Fax
- (201) 262-6270
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul M. Parker, MD
- Title
- Owner
- Phone
- (201) 967-1212
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 2715 | NJ | Primary |
Addresses
Primary practice location
122 E Ridgewood Ave
Paramus, NJ 07652-4038
Mailing address
122 E Ridgewood Ave
Paramus, NJ 07652-4038
Phone (972) 758-3598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311112 | Other | NJ | HORIZON BCBS |
Other names 1
- Parker Center for Plastic Surgery
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2115373 | Surgiplex, LLC | Certificate of waiver | Jul 5, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Paramus, NJ
- NPI 1043284466
-
- Plastic and Reconstructive Surgery Physician
- Millburn, NJ
- NPI 1346530656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251849600000",
"number": "1417044744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E RIDGEWOOD AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524038",
"telephone_number": "972-758-3598",
"fax_number": "972-599-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E RIDGEWOOD AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524038",
"telephone_number": "201-967-1212",
"fax_number": "201-262-6270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGIPLEX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2009-09-02",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-967-1212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": "2715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBS",
"identifier": "311112",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Parker Center for Plastic Surgery",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.