SALARTASH SURGICAL ASSOCIATES, LLC (NPI# 1952626640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952626640 |
| Entity Type | Organization |
| Organization Name | SALARTASH SURGICAL ASSOCIATES, LLC |
| Practice Address |
301 Central Ave Ste D Egg Harbor Township NJ 08234-8347 |
| Practice Telephone | 6099265000 |
| Practice Fax Number | 6099262020 |
| Mailing Telephone | 6099265000 |
| Mailing Fax Number | 6099262020 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | KHASHAYAR SALARTASH (PRESIDENT, MANAGING PHYSICIAN) |
| Authorized Official Telephone | 6099265000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MA0599921 | NJ | Other Service Providers |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MA05921 | NJ | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 208600000X | Surgery | NJ31562 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE GROUP | 216927 | 01 |
| NJ | 3176100 | 05 |
| Street Address |
301 CENTRAL AVE STE D |
| City | EGG HARBOR TOWNSHIP |
| State | NJ |
| Zip Code | 08234-8347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038130 | John H Cooper | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-01-25 |
| 1063753473 | Diane Theresa Maggio | Nurse Practitioner | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2013-03-11 |
| 1659507762 | Michelle L. Munyon | Physician Assistant | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2009-06-03 |
| 1073764924 | Laura Ann Schwenker | Nurse Practitioner | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2008-10-08 |
| 1619134475 | Pejman Rohani | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2008-05-20 |
| 1003947722 | Kristen G Leon | Nutritionist | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2007-03-07 |
| 1245349133 | Sarah K Fry | Nurse Practitioner | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-08-30 |
| 1457376006 | Khashayar Salartash | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-07-13 |
| 1710902333 | Alimorad Salartash | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-07-13 |
| 1003845223 | Matthew J. Finnegan | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356517684 | Desiree Diane D'angelo-donovan | Surgery | 2500 English Creek Ave Ste 605, Egg Harbor Township, NJ 08234-5588 | 2008-05-06 |
| 1831360965 | Gregory J. Tillou | Surgery | 2500 English Creek Ave., Bldg 800, Egg Harbor Township, NJ 08234 | 2008-03-17 |
| 1487679015 | Salartash Surgical Associates | Surgery | 301 Central Ave, Suite D, Egg Harbor Township, NJ 08234 | 2006-07-13 |
| 1528038130 | John H Cooper | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-01-25 |
| 1992023410 | Arthelma Chenee Tyson | Surgery | 2500 English Creek Ave Bldg 800, Egg Harbor Township, NJ 08234-5549 | 2010-05-07 |
| 1598884538 | David P May, PC | Surgery | 2500 English Creek Ave, Bldg 400, Egg Harbor Township, NJ 08234-5549 | 2007-03-29 |
| 1710902333 | Alimorad Salartash | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-07-13 |
| 1124058698 | Samir Patel | Surgery | 2500 English Creek Ave, Bldg. 800, Egg Harbor Township, NJ 08234-5549 | 2006-07-03 |
| 1003845223 | Matthew J. Finnegan | Surgery | 301 Central Ave Ste D, Egg Harbor Township, NJ 08234-8347 | 2006-07-01 |
| 1568401644 | John David Lorenzetti | Surgery | 2500 English Creek Ave, Suite 223, Egg Harbor Township, NJ 08234-5549 | 2006-06-05 |
| Find all providers in EGG HARBOR TOWNSHIP | ||||
| City | EGG HARBOR TOWNSHIP |
| Zip Code | 08234 |
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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.