Active NPI
South River Ambulatory Surgery
- Ambulatory Surgical Clinic/Center
- Edgewater, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1256479
- Legal business name
- SOUTH RIVER AMBULATORY SURGERY
- Practice address
- 3168 Braverton St
Suite 310
Edgewater, MD 21037-2674 - Phone
- (410) 956-7777
- Fax
- (410) 956-7186
- NPI assigned
- Feb 8, 2007
- Last updated
- Mar 1, 2013
- 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. Sanjiv Kumar Saini, M.D.
- Title
- Medical Director
- Phone
- (410) 956-7777
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 |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1256479 | MD | Primary |
Addresses
Primary practice location
3168 Braverton St
Suite 310
Edgewater, MD 21037-2674
Mailing address
3168 Braverton St
Suite 310
Edgewater, MD 21037-2674
Phone (410) 956-7777
National Provider Directory
National Provider DirectoryLocations
3168 Braverton St
Edgewater, MD 21037
Phone (410) 840-2450
3168 Braverton St
Ste 310
Edgewater, MD 21037
Phone (410) 840-2450
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.
-
- Specialist
- Lexington Park, MD
- NPI 1598805293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362096000000",
"number": "1922148733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3168 BRAVERTON ST",
"address_2": "SUITE 310",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372674",
"telephone_number": "410-956-7777",
"fax_number": "410-956-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3168 BRAVERTON ST",
"address_2": "SUITE 310",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372674",
"telephone_number": "410-956-7777",
"fax_number": "410-956-7186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH RIVER AMBULATORY SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2013-03-01",
"status": "A",
"authorized_official_last_name": "SAINI",
"authorized_official_first_name": "SANJIV",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "410-956-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "1256479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, MD
- Julie T. Siefert, RN
- Susan Signorelli, PA-C
- Claire Skelton
- Catherine Smith-Heine, LCPC, NCC
- Sol & Luna Wellness LLC
- South River Family Chiropractic LLC
- South River Internal Medicine, PA
- South River Nursing and Rehab Center LLC (South River Rehabilitation and Wellness Center)
- South River Primary Care LLC
- Alexa Spearman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.