Surgicore, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

22615 Issued in NJ

Legal business name

SURGICORE, LLC

Doing business as

Surgicore Surgical Center

Practice address

444 Market St
Saddle Brook, NJ 07663-5996

Phone

(201) 843-9441

Fax

(201) 843-9442

NPI assigned

Mar 1, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Amaury Romero

Title

Managing Partner

Phone

(973) 897-5385

Specialties & licenses 1

Addresses

Other names 1

• Surgicore Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Surgicore LLCCCN 31C0001287

Medicare certification status

ActiveFrom the Provider of Services file

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, and the practitioner matching its NPPES authorized official.

• Deepak Valjibhai Patel, M.D.

  • Orthopaedic Surgery Physician
  • Secaucus, NJ
  • NPI 1447288378
  NPD (past)

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1659731933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635996",
            "telephone_number": "201-843-9441",
            "fax_number": "201-843-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635996",
            "telephone_number": "201-843-9441",
            "fax_number": "201-843-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "AMAURY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-897-5385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgicore Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spine & Rehabilitation Center of Saddle Brook
• Kerryn Michelle St. Andre, PT, DPT
• Starlight Home Care Agency, Inc (Star Pediatric Home Care Agency)
• Edward Joseph Suchora, D.M.D.
• Edwin J Sullivan, DO FACOS
• Surgistar Holdings LLC (Saddle Brook Endoscopic and Orthopedic Surgery Center)
• Lhiel Taga-Oc, OTR/L
• Brian Tanada, DPT
• Mahnaz Chand Tantawi, MD
• Maryann Tawadros, PHARM.D

• Ambulatory Surgical Clinic/Center in Saddle Brook, NJ
• Providers in Saddle Brook, 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 Jun 8, 2016; 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.