Tenafly Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TENAFLY SURGERY CENTER LLC

Practice address

2 Dean Dr Ste 3N
Tenafly, NJ 07670-2765

Phone

(201) 266-6355

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ramtin Kassir, MDNPI 1477591048

Title

Owner

Phone

(201) 266-6355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Ambulatory surgical center certification: CCN 31C0001376

Legal name

TENAFLY SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 10, 2023

Last certification

Dec 15, 2022

Ownership / control type

Proprietary

Facility address

2 Dean Drive, Suite 3N
Tenafly, NJ 07670

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Ramtin Kassir, M.D.

  • Otolaryngology Physician
  • Wayne, NJ
  • NPI 1477591048
  NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1619638194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DR STE 3N",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-266-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEAN DR STE 3N",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-266-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENAFLY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "KASSIR",
        "authorized_official_first_name": "RAMTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-266-6355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Tenafly, NJ
• Providers in Tenafly, 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 Jan 6, 2022; 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.