Surgxcel, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00235200 Issued in NJ

Legal business name

SURGXCEL, LLC

Practice address

15 Hoffman Ave
Lake Hiawatha, NJ 07034-2320

Phone

(917) 864-8957

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dewang H Rawal, PA-CNPI 1639256068

Title

Ceo

Phone

(917) 864-8957

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dewang H Rawal, P.A. - C

  • Physician Assistant
  • Lake Hiawatha, NJ
  • NPI 1639256068
  NPD (past) Authorized official

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1568744779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SURGXCEL, LLC",
            "address_2": "211 RIDGE DRIVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "07442",
            "telephone_number": "917-864-8957",
            "fax_number": "973-706-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOFFMAN AVE",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342320",
            "telephone_number": "917-864-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGXCEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "RAWAL",
        "authorized_official_first_name": "DEWANG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-864-8957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00235200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Lake Hiawatha, NJ
• Providers in Lake Hiawatha, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.