Modern Medicine Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MODERN MEDICINE SURGICAL CENTER, LLC

Practice address

633 From Rd
Paramus, NJ 07652-3514

Phone

(551) 284-7220

Fax

(551) 284-7221

NPI assigned

Feb 14, 2020

Organization subpart

No

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

Authorized official

Name

Ciro Randazzo, MD

Title

Medical Director

Phone

(551) 284-7220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1780217034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 FROM RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523514",
            "telephone_number": "551-284-7220",
            "fax_number": "551-284-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 FROM RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523514",
            "telephone_number": "551-284-7220",
            "fax_number": "551-284-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MEDICINE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "CIRO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "551-284-7220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danice Miranda
• Panagiota Mish
• Michelle A. Mitchell, LSW
• Suneet Mittal, M.D.
• Eric Mittelmann, MD
• Noopur Modi
• Mohammed N Saeed MD PC
• Leanna Mohollen, PT, DPT, MS
• Zuzanna Molenda-Kostanski
• Natalie Molion, LSW

• Ambulatory Surgical Clinic/Center in Paramus, NJ
• Providers in Paramus, 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 Feb 14, 2020; 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.