Seidenberg Protzko Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1432 Issued in MD

Legal business name

SEIDENBERG PROTZKO SURGERY CENTER LLC

Practice address

1111 Beards Hill Rd
Suite 700
Aberdeen, MD 21001-2232

Phone

(410) 273-9096

Fax

(410) 273-9146

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Steven Madreperla, MD, PHDNPI 1013925254

Title

President/Ceo

Phone

(908) 458-8333

Specialties & licenses 1

Addresses

Other names 1

• MID ATLANTIC SURGERY PAVILION Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Seidenberg Protzko Surgery Center LLCCCN 21C0001432

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

Locations

Practitioners 1

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

• Steven Madreperla, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Union, NJ
  • NPI 1013925254
  NPD Authorized official

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1922055235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BEARDS HILL RD",
            "address_2": "SUITE 700",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012232",
            "telephone_number": "410-273-9096",
            "fax_number": "410-273-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIDENBERG PROTZKO SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "MADREPERLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-458-8333",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID ATLANTIC SURGERY PAVILION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MID ATLANTIC SURGERY PAVILION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.