Renaissance Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

23116 Issued in NJ

Legal business name

RENAISSANCE SURGERY CENTER

Practice address

190 Midland Ave
Saddle Brook, NJ 07663-6408

Phone

(862) 247-8080

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Nicki Caporino, RN

Title

Administrator

Phone

(862) 247-8080

Specialties & licenses 1

Addresses

Practitioners 2

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

• Kristappa Sangavaram, M.D.

  • Anesthesiology Physician
  • Elmwood Park, NJ
  • NPI 1376635722
  NPD (past)
• Nirmal V Patel, M.D.

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1548212491
  NPD (past)

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1962755561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076630555",
            "telephone_number": "862-247-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636408",
            "telephone_number": "862-247-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "CAPORINO",
        "authorized_official_first_name": "NICKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "862-247-8080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• R L Medical LLC
• Anthony Randazzo, D.M.D.
• Ruth Reyes-Espino
• Ira Rinn, M.A., BCBA
• Kelly Riordan, LSW
• Leonora Rivera, M.D.
• Robust Supplies Corp

• Ambulatory Surgical Clinic/Center in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.