Surgical PA Services, PC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SURGICAL PA SERVICES, PC

Practice address

525 Route 73 N Ste 104
Marlton, NJ 08053-3422

Phone

(646) 346-4304

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Jacob Katanov, PANPI 1396762191

Title

President

Phone

(646) 346-4304

Specialties & licenses 1

Addresses

Other names 1

• Surgical PA Services, PC Doing business as

Practitioners 1

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

• Jacob Katanov, P.A.

  • Surgical Physician Assistant
  • Brooklyn, NY
  • NPI 1396762191
  NPD Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1811529290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 ELLWELL CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745032",
            "telephone_number": "646-346-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "646-346-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PA SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "KATANOV",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-346-4304",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical PA Services, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neal David Sundberg, D.C.
• Elaine Sung, DPT
• Sunmed Medical Systems LLC
• Dana Supe, MD
• Justin Adam Supnick
• Surgical Specialists of New Jersey, LLC
• Jewelle R Sutherland, MD
• Tracey Swain, LCSW
• Celeste Swanson
• Stephanie Marie Swasey

• Surgical Physician Assistant in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.