SUBURBAN ENDOSCOPY CENTER, LLC (NPI# 1235178146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235178146 |
| Entity Type | Organization |
| Organization Name | SUBURBAN ENDOSCOPY CENTER, LLC |
| Other Organization Name | SUBURBAN ENDOSCOPY CENTER |
| Practice Address |
799 Bloomfield Ave Ste 101 Verona NJ 07044-1301 |
| Practice Telephone | 9735711600 |
| Practice Fax Number | 9735711882 |
| Mailing Telephone | 9735711600 |
| Mailing Fax Number | 9735711882 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-06-12 |
| Authorized Official Name | KATHERINE L REED (MEDICARE AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
22335 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Suburban Endoscopy Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275801672 | Suburban Endoscopy Center, LLC | Specialist | 799 Bloomfield Ave, Suite 101, Verona, NJ 07044-1367 | 2011-12-13 |
| 1659649549 | Suburban Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 799 Bloomfield Ave, Suite 101, Verona, NJ 07044-1367 | 2011-12-06 |
| Street Address |
799 BLOOMFIELD AVE STE 101 |
| City | VERONA |
| State | NJ |
| Zip Code | 07044-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205800885 | Ragheda Saba | Pediatrics | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2006-02-13 |
| 1285260208 | Michelle Berman | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2020-03-21 |
| 1891254702 | Donald Fru | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2019-03-19 |
| 1396204376 | Silvia Khalil | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2019-03-18 |
| 1811484850 | Marwah Khalid Tareen | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2018-04-16 |
| 1548764004 | Joseph Joshua Perez | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2018-03-20 |
| 1033651690 | Amna Vahidy Mehmood | Physician Assistant | 799 Bloomfield Ave, Suite 301, Verona, NJ 07044-1367 | 2016-11-14 |
| 1275995805 | Beqir M Sopi | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2016-03-23 |
| 1720440241 | Rima Amin | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2016-03-23 |
| 1861854739 | Bettina George | Family Medicine | 799 Bloomfield Ave, Suite 201, Verona, NJ 07044-1367 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726017 | John Roland Yeiser IIi | Student in an Organized Health Care Education/Training Program | Mountainside Family Practice Group, 799 Bloomfield Ave, 2nd Floor, Verona, NJ 07044 | 2020-03-26 |
| 1962989582 | Karen E Carlough | Massage Therapist | 80 Pompton Ave, 3rd Floor, Verona, NJ 07044 | 2018-07-26 |
| 1063935302 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Green Acres, #75, Verona, NJ 07044 | 2017-07-19 |
| 1891224150 | Karen Gorman | Counselor | 12 Kenwood Ave, Verona, NJ 07044 | 2017-06-08 |
| 1154706208 | Leonard Gallo | Counselor | 3 Overhill Rd, Verona, NJ 07044 | 2015-07-29 |
| 1932527082 | Ekta Sharma | Family Medicine | 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 | 2014-04-04 |
| 1457676454 | Nadine Lauer | Marriage & Family Therapist | 685 Bloomfield Ave, Suite 201, Verona, NJ 07044 | 2010-04-01 |
| 1003147026 | Anthony Goss | Occupational Therapist | 276 Linden Avenue, Verona, NJ 07044 | 2010-01-15 |
| 1487836243 | Jerome Geyer | Dentist | 338 Bloomfield Avenue, Verona, NJ 07044 | 2007-12-03 |
| 1942407861 | Satya D Narisety | Allergy & Immunology | 197 Bloomfield Avenue, Verona, NJ 07044 | 2007-07-03 |
| Find all providers in zip 07044 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1477153237 | Jersey Ambulatory & Surgical Partners LLC | Clinic/Center | 1167 Mcbride Ave Ste 4, Woodland Park, NJ 07424-2543 | 2020-10-29 |
| 1144834987 | Center for Special Surgery of Lyndhurst LLC | Clinic/Center | 70 Ridge Rd Fl 2, Lyndhurst, NJ 07071-1216 | 2020-08-31 |
| 1164031118 | Progressive Surgical Center LLC | Clinic/Center | 630 E Palisade Ave Ste 2-100, Englewood, NJ 07632-1842 | 2020-07-27 |
| 1063031862 | Ganchi Plastic Surgery Center LLC | Clinic/Center | 246 Hamburg Tpke Ste 307, Wayne, NJ 07470-2161 | 2020-04-11 |
| 1023642154 | Nova Surgery Center LLC | Clinic/Center | 107 Monmouth Rd Ste 103, West Long Branch, NJ 07764-1021 | 2020-02-27 |
| 1780217034 | Modern Medicine Surgical Center, LLC | Clinic/Center | 633 From Rd, Paramus, NJ 07652-3514 | 2020-02-14 |
| 1629612437 | Asc of New Jersey LLC | Clinic/Center | 5 Progress St Ste 2, Edison, NJ 08820-1102 | 2019-11-05 |
| 1942841143 | Global Surgery Center LLC | Clinic/Center | 680 Kinderkamack Rd Ste 100, Oradell, NJ 07649-1600 | 2019-09-30 |
| 1710440045 | Access Care Physicians of Nj LLC | Clinic/Center | 2401 Morris Ave Ste W-112, Union, NJ 07083-5745 | 2019-04-12 |
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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.