Organization Active NPI

SVS Medical PC

  • Family Medicine Physician
  • Cliffside Park, NJ
National Provider Identifier
1821248543
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SVS MEDICAL PC
Practice address
200 Winston Dr Apt 805
Cliffside Park, NJ 07010-3214
Phone
(201) 224-5402
NPI assigned
Sep 30, 2008
Last updated
Sep 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Vadim Surikov, MD
Title
Owner
Phone
(201) 224-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

200 Winston Dr Apt 805
Cliffside Park, NJ 07010-3214

Mailing address

200 Winston Dr Apt 805
Cliffside Park, NJ 07010-3214
Phone (201) 224-5402

Other identifiers 1

IdentifierTypeStateIssuer
25MB07578900OtherNJLICENSE

National Provider Directory

National Provider Directory

Locations

263 Hillside Ave
Nutley, NJ 07110
Phone (201) 333-9300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1821248543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WINSTON DR APT 805",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103214",
            "telephone_number": "201-224-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WINSTON DR APT 805",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103214",
            "telephone_number": "201-224-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "SURIKOV",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-224-5402",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MB07578900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.