Surgicare Surgical Associates of Carlstadt, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICARE SURGICAL ASSOCIATES OF CARLSTADT, LLC

Practice address

630 Broad St
Carlstadt, NJ 07072-1169

Phone

(201) 355-1700

Fax

(201) 355-1694

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Basralian, MD

Title

Medical Director

Phone

(201) 355-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1780737239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BROAD ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721169",
            "telephone_number": "201-355-1700",
            "fax_number": "201-355-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BROAD ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721169",
            "telephone_number": "201-355-1700",
            "fax_number": "201-355-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE SURGICAL ASSOCIATES OF CARLSTADT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BASRALIAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-355-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Carlstadt, NJ
• Providers in Carlstadt, 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 26, 2008; 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.