Surgiplex LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2715 Issued in NJ

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

Last updated

Sep 2, 2009By 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. Paul M. Parker, MDNPI 1043284466

Title

Owner

Phone

(201) 967-1212

Specialties & licenses 1

Addresses

Other names 1

• Parker Center for Plastic Surgery Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417044744. Details of each certification follow.

• CCN 31C0001296 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 31C0001296

Legal name

SURGIPLEX LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 9, 2013

Last certification

May 26, 2016

Ownership / control type

Proprietary

Facility address

122 E Ridgewood Avenue
Paramus, NJ 07652

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Paul M Parker, MD

  • Plastic Surgery Physician
  • Paramus, NJ
  • NPI 1043284466
  NPD Authorized official
• Michael Sosin

  • Plastic and Reconstructive Surgery Physician
  • Millburn, NJ
  • NPI 1346530656
  NPD

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Center for Plastic Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Summit Medical Group PA (CityMD)
• Summit Medical Group PA
• Sara J Sung, FNP
• Romellah Sunico, RPT
• Sunterprise Health LLC (SKC Dermatology)
• Ilona Wiener Surick, MD
• John S Surie, DC
• Karen M Surowiec, PSYD
• Katherine Sutton, LCSW
• Pathik Tuhin Suvarnakar, PHARMD, RPH

• Ambulatory Surgical Clinic/Center in Paramus, NJ
• Providers in Paramus, 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 Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.