NORTH JERSEY SURGICAL ASSOCIATES, PA (NPI# 1699704536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699704536 |
| Entity Type | Organization |
| Organization Name | NORTH JERSEY SURGICAL ASSOCIATES, PA |
| Practice Address |
145 Prospect St Ridgewood NJ 07450-4493 |
| Mailing Address |
145 Prospect Street Ridgewood NJ 07450 |
| Practice Telephone | 2014444412 |
| Practice Fax Number | 2014446966 |
| Mailing Telephone | 2014444412 |
| Mailing Fax Number | 2014446966 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BETSY W. TYRAS (OFFICE MANAGER) |
| Authorized Official Telephone | 2014444412 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA01903 | NJ | Other Service Providers |
| Street Address |
145 PROSPECT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285695015 | Homayoon Hatefi | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450 | 2006-03-31 |
| 1134463409 | Lsa Surgery & Consultation PC | Clinic/Center | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2012-11-26 |
| 1053621318 | M.a. Ferrer Physical Therapy LLC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-10-20 |
| 1972817955 | Orthosports and Spine Physical Therapy PC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-08-02 |
| 1346426087 | Homayoon Hatefi M.d. Pa | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2008-01-11 |
| 1558484923 | Marie Angelie Ferrer | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2007-04-09 |
| 1649386020 | Michael Peter Gentile Sr. | Psychiatry & Neurology | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-08-21 |
| 1306891031 | Youngick Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 145 Prospect St, Ridgewood, NJ 07450 | 2006-05-23 |
| 1477502078 | New Jersey Breast Diagnostic Center, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-05-09 |
| 1972565984 | Nino J Carnevale | Surgery | 145 Prospect St, Ridgewood, NJ 07450 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692096 | Deidre Ippolito | Specialist | 1864 Putnam Ave Apt 1r, Ridgewood, NY 11385-4314 | 2019-07-30 |
| 1497222079 | Karen Villacres | Specialist | 506 Grandview Ave Apt 2r, Ridgewood, NY 11385-1996 | 2018-10-31 |
| 1144713306 | Lilibeth Acosta | Specialist | 1627 Cornelia St, Ridgewood, NY 11385-4711 | 2018-06-12 |
| 1578065249 | Msan Medical Care PC | Specialist | 6861 Fresh Pond Rd, Ridgewood, NY 11385-5263 | 2018-03-08 |
| 1851807168 | Ailee Wiscovitch | Specialist | 1820 Cornelia St, Ridgewood, NY 11385-4900 | 2017-12-21 |
| 1386167005 | Kristen Naletilic | Specialist | 1835 Summerfield Street, Ridgewood, NY 11385 | 2017-07-25 |
| 1235672296 | American Healthcare Partners | Specialist | 38 E Ridgewood Ave # 200, Ridgewood, NJ 07450-3808 | 2016-11-23 |
| 1841743887 | Learning Steps Inc. | Specialist | 58-25 69 Ave, Ridgewood, NY 11385 | 2016-07-26 |
| 1639538598 | Yllka Tupi | Specialist | 2055 Gates Ave Apt 2l, Ridgewood, NY 11385-3030 | 2016-02-19 |
| 1609257732 | Robert Foerster | Specialist | 6135 Madison St, Apt 3l, Ridgewood, NY 11385-4038 | 2015-06-15 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.