Active NPI
Surgical and Professional Services PC
- Surgery Physician
- West Orange, NJ
National Provider Identifier
1891079893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL AND PROFESSIONAL SERVICES PC
- Practice address
- 393 Northfield Ave
West Orange, NJ 07052-3001 - Phone
- (862) 252-7012
- NPI assigned
- Oct 8, 2011
- 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
- Dr. Prakash Ramaiah Paragi, MS, MD
- Title
- President
- Phone
- (862) 252-7012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
393 Northfield Ave
West Orange, NJ 07052-3001
Mailing address
393 Northfield Ave
West Orange, NJ 07052-3001
Phone (862) 252-7012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Livingston, NJ
- NPI 1598992380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383696000000",
"number": "1891079893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 NORTHFIELD AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523001",
"telephone_number": "862-252-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 NORTHFIELD AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070523001",
"telephone_number": "862-252-7012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL AND PROFESSIONAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-08",
"last_updated": "2013-11-06",
"status": "A",
"authorized_official_last_name": "PARAGI",
"authorized_official_first_name": "PRAKASH",
"authorized_official_middle_name": "RAMAIAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "862-252-7012",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MS, MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.