Organization Active NPI

Saddle River Medical Group, LLC

  • Cardiovascular Disease Physician
  • Saddle River, NJ
National Provider Identifier
1598136236
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SADDLE RIVER MEDICAL GROUP, LLC
Practice address
82 E Allendale Rd
Suite 3a
Saddle River, NJ 07458-3057
Phone
(201) 825-3933
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Miss Ghazaleh Hadji
Title
Business Manager
Phone
(201) 825-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

82 E Allendale Rd
Suite 3a
Saddle River, NJ 07458-3057

Mailing address

82 E Allendale Rd
Suite 3a
Saddle River, NJ 07458-3057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151106000549 NJ Part B Supplier - Clinic/Group Practice 0547570327 Receives reassigned benefits from 6 practitioners
Practice locations: Emerson, NJ; Woodcliff Lake, NJ; Wayne, NJ; Saddle River, NJ; Ridgewood, NJ; Paramus, NJ; Oradell, NJ; Old Tappan, NJ…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1598136236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 E ALLENDALE RD",
            "address_2": "SUITE 3A",
            "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 3A",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583057",
            "telephone_number": "201-825-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE RIVER MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "HADJI",
        "authorized_official_first_name": "GHAZALEH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "201-825-3933",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "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 Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.