Teammd Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TEAMMD SURGERY CENTER LLC

Practice address

1167 McBride Ave Ste 4
Woodland Park, NJ 07424-2543

Phone

(973) 779-7361

Fax

(973) 779-7385

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Arun Kandra, MD

Title

Ceo

Phone

(973) 567-4162

Specialties & licenses 1

Addresses

Other names 1

• TEAMMD SURGERY CENTER LLC Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Teammd Surgery Center LLC Dba Teammd Surgery Center LLCCCN 31C0001351

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanti Eppanapally, MD

  • Anesthesiology Physician
  • Clifton, NJ
  • NPI 1306872635
  NPD (past)

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1477153237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 VALLEY RD # 314",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 MCBRIDE AVE STE 4",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242543",
            "telephone_number": "973-779-7361",
            "fax_number": "973-779-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMMD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "KANDRA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-567-4162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEAMMD SURGERY CENTER LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Woodland Park, NJ
• Providers in Woodland Park, 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 Feb 12, 2026; 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.