Teaneck Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

24302 Issued in NJ

Legal business name

TEANECK SURGICAL CENTER, LLC

Practice address

730 Palisade Ave FL 2
Teaneck, NJ 07666-3144

Phone

(201) 928-2160

Fax

(201) 287-8385

NPI assigned

Nov 7, 2008

Last updated

Dec 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jen Lee, MD

Title

President

Phone

(201) 928-2160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Teaneck Surgical CenterCCN 31C0001252

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 8

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.

• Gen Koshibe, M.D.

  • Anesthesiology Physician
  • Teaneck, NJ
  • NPI 1609004787
  Medicare reassignment NPD
• Marsha Thornhill, MD

  • Anesthesiology Physician
  • Teaneck, NJ
  • NPI 1578648366
  Medicare reassignment NPD
• Marc S Arginteanu, M.D.

  • Neurological Surgery Physician
  • Englewood, NJ
  • NPI 1972570588
  NPD (past)
• Vijay Gupta, M.D.

  • Anesthesiology Physician
  • Fair Lawn, NJ
  • NPI 1508068693
  NPD (past)
• David Ryu, D.O.

  • Anesthesiology Physician
  • Teaneck, NJ
  • NPI 1871780692
  NPD (past)
• Robert Worth, MD

  • Specialist
  • Teaneck, NJ
  • NPI 1588749303
  NPD (past)
• Alison Christina Schmeck, M.D.

  • Anesthesiology Physician
  • Danville, PA
  • NPI 1427286087
  NPD (past)
• Abe Joseph Vatakencherry, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1588987697
  NPD (past)

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1841444593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 PALISADE AVE FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663144",
            "telephone_number": "201-928-2160",
            "fax_number": "201-287-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PALISADE AVE FL 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663144",
            "telephone_number": "201-928-2160",
            "fax_number": "201-287-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEANECK SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-928-2160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "24302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teaneck Pediatric Associates, PA
• Teaneck Physical Therapy and Pain Management Inc
• Teaneck Podiatry,LLC
• Teaneck Radiology Center LLC
• Teaneck Speech and Language Center
• Teaneck Volunteer Ambulance Corps., Inc.
• Teaneck Women's Health
• Nathan Reuben Teich, M.D.
• David Elliot Teichman, RPH
• Sylvia Teitelbaum

• Ambulatory Surgical Clinic/Center in Teaneck, NJ
• Providers in Teaneck, 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 Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.