Organization Active NPI

South River Ambulatory Surgery

  • Ambulatory Surgical Clinic/Center
  • Edgewater, MD
National Provider Identifier
1922148733
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1256479 Issued in MD
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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.NPI 1598805293
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.