Organization Active NPI

Ross Medical Corporation

  • Physiological Laboratory
  • Saddle River, NJ
National Provider Identifier
1417216433
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
25MA09057500 Issued in NJ
Legal business name
ROSS MEDICAL CORPORATION
Practice address
82 E Allendale Rd
Suite 2a
Saddle River, NJ 07458-3057
Phone
(510) 912-3636
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. Alexander Chiu, M.D.
Title
C.E.O.
Phone
(510) 912-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 25MA09057500 NJ Primary

Addresses

Primary practice location

82 E Allendale Rd
Suite 2a
Saddle River, NJ 07458-3057

Mailing address

82 E Allendale Rd
Suite 2a
Saddle River, NJ 07458-3057

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2105902Saddle River Medical Group, LLC82 E Allendale Road, Suite 3a, Saddle River, NJ 07458Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

82 E Allendale Rd
Ste 2A
Saddle River, NJ 07458
Phone (201) 327-8600

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1417216433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 E ALLENDALE RD",
            "address_2": "SUITE 2A",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 E ALLENDALE RD",
            "address_2": "SUITE 2A",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583057",
            "telephone_number": "510-912-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "510-912-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NJ",
            "license": "25MA09057500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.

Verify at the official NPI Registry.