Palisades Surgical Suites, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PALISADES SURGICAL SUITES, LLC

Practice address

1 Bridge PLZ N Ste 540
Fort Lee, NJ 07024-7101

Phone

(804) 651-5216

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Melissa McSherry

Title

Director of Operations

Phone

(708) 275-7799

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Gbolahan Olawole Okubadejo, MD

  • Orthopaedic Surgery of the Spine Physician
  • Englewood, NJ
  • NPI 1497947022
  NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1699475368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N STE 540",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247530",
            "telephone_number": "551-465-5595",
            "fax_number": "551-465-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N STE 540",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247101",
            "telephone_number": "804-651-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES SURGICAL SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "MCSHERRY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "708-275-7799"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palisade Plastic Surgery Associates PC
• Palisade Surgery Center LLC
• Palisades Dental Associates PC
• Palisades Oral Surgery
• Palisades Park Podiatry PC
• Palisdes Periodontics
• Elizabeth Palughi
• Chang S Park, M.D.
• Clara Park, DDS
• David Park, DPT

• Surgery Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.