Organization Active NPI

Med-Surg Practitioners, LLC

  • Nurse Practitioner
  • Glen Rock, NJ
National Provider Identifier
1922419654
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MED-SURG PRACTITIONERS, LLC
Practice address
85 Harristown Rd
Suite 201
Glen Rock, NJ 07452-3307
Phone
(201) 855-8302
Fax
(201) 444-3925
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. John H. Hajjar, M.D.NPI 1104894435
Title
Owner
Phone
(201) 855-8302

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

85 Harristown Rd
Suite 201
Glen Rock, NJ 07452-3307

Mailing address

85 Harristown Rd
Suite 201
Glen Rock, NJ 07452-3307
Phone (201) 855-8302

National Provider Directory

National Provider Directory

Locations

85 Harristown Rd
Ste 201
Glen Rock, NJ 07452
Phone (201) 855-8302

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1922419654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SUITE 201",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523307",
            "telephone_number": "201-855-8302",
            "fax_number": "201-444-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SUITE 201",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523307",
            "telephone_number": "201-855-8302",
            "fax_number": "201-444-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SURG PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-855-8302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.