NPIMap

Organization Active NPI

Stafford Surgical Specialists, LLC

  • Surgery Physician
  • Manahawkin, NJ
National Provider Identifier
1952540395
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STAFFORD SURGICAL SPECIALISTS, LLC
Practice address
1100 Route 72 W
Manahawkin, NJ 08050-2468
Phone
(609) 978-3325
Fax
(609) 978-3123
NPI assigned
Feb 9, 2009
Last updated
Feb 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Karl W Strom, MDNPI 1831249275
Title
Partner
Phone
(609) 978-3325

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
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1100 Route 72 W
Manahawkin, NJ 08050-2468

Mailing address

201 W Passaic St
Suite 201
Rochelle Park, NJ 07662-3100
Phone (201) 845-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100326000399 NJ Part B Supplier - Clinic/Group Practice 8729114905 Receives reassigned benefits from 7 practitioners
Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

1100 Route 72 W
Ste 303
Manahawkin, NJ 08050
Phone (609) 978-3202

Practitioners & affiliated clinicians

Practitioners 9

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": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1952540395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W PASSAIC ST",
            "address_2": "SUITE 201",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623100",
            "telephone_number": "201-845-6363",
            "fax_number": "201-845-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502468",
            "telephone_number": "609-978-3325",
            "fax_number": "609-978-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "STROM",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "609-978-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.