Active NPI
SVS Medical PC
- Family Medicine Physician
- Cliffside Park, NJ
National Provider Identifier
1821248543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MB07578900 | Other | NJ | LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- East Rutherford, NJ
- NPI 1194871459
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.