Glen Ridge Surgi Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GLEN RIDGE SURGI CENTER

Practice address

230 Sherman Ave
Glen Ridge, NJ 07028-1529

Phone

(973) 783-2626

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

RV Ballem, MD

Title

President

Phone

(973) 783-2626

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.

• Thomas F Testa, DPM

  • Podiatrist
  • Nutley, NJ
  • NPI 1902907439
  NPD
• Sanjiv R Parikh, M.D.

  • Specialist
  • Clifton, NJ
  • NPI 1780762898
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972556900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281529",
            "telephone_number": "973-783-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN RIDGE SURGI CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLEM",
        "authorized_official_first_name": "RV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-783-2626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna M. Galuchie, NP
• Robert Gary Gang, M.A.
• Kelly Garvey, LCSW
• Gastroenterology Group of New Jersey PA
• Glen Ridge Cosmetic and Family Dentistry
• Kartik Narendra Gohil, MBBS
• Elliana Olstein Goldberg, MSW
• Anthony Goss
• David A. Green, M.D.
• Anjali Grover, M.D.

• Ambulatory Surgical Clinic/Center in Glen Ridge, NJ
• Providers in Glen Ridge, 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 22, 2020; 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.