Surgicare Surgical Associates of Ridgewood, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICARE SURGICAL ASSOCIATES OF RIDGEWOOD, LLC

Practice address

1124 E Ridgewood Ave
Ridgewood, NJ 07450-3915

Phone

(201) 493-2310

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Hajjar, MD

Title

President

Phone

(201) 791-4544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Surgicare Surgical Associates of Ridgewood LLCCCN 31C0001239

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Irvin D Bough Jr., M.D.

  • Otolaryngology Physician
  • Paramus, NJ
  • NPI 1598710899
  NPD
• Edward Richard Nieuwenhuis Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Wyckoff, NJ
  • NPI 1477573541
  NPD
• Umer Dasti, MD

  • Orthopaedic Surgery Physician
  • Ridgewood, NJ
  • NPI 1497916845
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1912199258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503942",
            "telephone_number": "201-493-2310",
            "fax_number": "201-444-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-493-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE SURGICAL ASSOCIATES OF RIDGEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-791-4544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Matthew Suffin, D.O.
• Nina S Sugar, M.D.
• Michelle Suh, DPM
• Rumana Sultana, MD
• Anne R Sumers, MD
• SVTC Pharma Inc
• Catherine Swagger, PNP
• Lauren Martha Sweitzer, PSYD
• Leonard Swerdlof
• Synapse Consulting

• Ambulatory Surgical Clinic/Center in Ridgewood, NJ
• Providers in Ridgewood, 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 Nov 8, 2019; 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.