HERITAGE SURGICAL GROUP (NPI# 1306271572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306271572 |
| Entity Type | Organization |
| Organization Name | HERITAGE SURGICAL GROUP |
| Practice Address |
250 Old Hook Rd Suite 303 Westwood NJ 07675-3123 |
| Mailing Address |
741 Teaneck Rd Suite B Teaneck NJ 07666-4243 |
| Practice Telephone | 2018332888 |
| Practice Fax Number | 2018331010 |
| Mailing Telephone | 2018332888 |
| Mailing Fax Number | 2018331010 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Authorized Official Name | STAVROS CHRISTOUDIAS (MEMBER) |
| Authorized Official Telephone | 2018332888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25MA08710300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
250 OLD HOOK RD SUITE 303 |
| City | WESTWOOD |
| State | NJ |
| Zip Code | 07675-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676983 | Elizabeth Paskowski | Obstetrics & Gynecology | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2005-06-01 |
| 1528579620 | Albert Cafe Abrenilla | Physical Therapist | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2017-10-16 |
| 1083160543 | Hook Inpatient Services LLC | Hospitalist | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2016-08-25 |
| 1063867885 | Glenn Gomes | Emergency Medicine | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2016-04-29 |
| 1902251176 | Jordan Kunish | Internal Medicine | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2016-04-25 |
| 1215391271 | Mpv New Jersey Md Services PC | General Practice | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2016-04-06 |
| 1376913285 | Meredith J Yorkin | Dietitian, Registered | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2015-10-05 |
| 1306253752 | Patricia Shine | Social Worker | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2014-07-17 |
| 1639518269 | Pascack Pediatric Associates LLC | Pediatrics | 250 Old Hook Rd, Westwood, NJ 07675-3123 | 2013-06-17 |
| 1912344995 | Vanessa M Santos | Emergency Medicine | 250 Old Hook Rd, Westwood, NJ 07675 | 2013-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1134699200 | Angelly Guzman | Social Worker | 192 3rd Ave., Westwood, NJ 07675 | 2018-11-30 |
| 1477091270 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 216 Old Tappan Road, Suite 56-58d, Old Tappan, NJ 07675 | 2017-02-01 |
| 1871965392 | Jesse Glassman | Psychologist | 354 Old Hook Rd. Suite 203, Westwood, NJ 07675 | 2015-10-23 |
| 1972981249 | Sabrina Tate Hegarty | Physical Therapist | 38 Adams Court, Westwood, NJ 07675 | 2015-05-07 |
| 1205220910 | Annamma Goerge | Nurse Practitioner | 333 Old Hook Road, Suite 103, Endocrinology and Diabetes Associates, LLC, Westwood, NJ 07675 | 2015-03-20 |
| 1871997833 | Tia Davis | Social Worker | 80 Westwood Blvd, Westwood, NJ 07675 | 2014-10-20 |
| 1336564400 | Jessica Digiacomo | Counselor | 192 Third Avenue, Suite 1-b, Westwood, NJ 07675 | 2014-02-26 |
| 1487078507 | Bergen Pediatric Speech Therapy | Speech-Language Pathologist | 354 Old Hook Rd., Ll-1, Westwood, NJ 07675 | 2014-02-10 |
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| 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 |
|---|---|---|---|---|
| 1760685622 | Mikhail A Botvinov | Surgery | 260 Old Hook Road, Suite 303a, Westwood, NJ 07675-3123 | 2007-06-07 |
| 1417058868 | Mark G Reintjes | Surgery | 1900 W 47th Pl, Suite 400, Westwood, KS 66205-1815 | 2006-09-26 |
| 1346286051 | Vishnubhai M Amin | Surgery | 333 Old Hook Road Suite 105, Westwood, NJ 07675 | 2006-06-21 |
| 1144730987 | Bergen Bariatric and Surgical Solutions PC | Surgery | 260 Old Hook Road, Suite 303a, Westwood, NJ 07675-3123 | 2017-10-06 |
| 1639510183 | Heritage Breast Care LLC | Surgery | 260 Old Hook Road, Westwood, NJ 07675 | 2013-07-12 |
| 1124295837 | V M Amin Md Pa | Surgery | 333 Old Hook Road Suite 105, Westwood, NJ 07675 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002867 | Herrmann Rnfa LLC | Surgery | 37 Center Ave, Cedar Grove, NJ 07009-1015 | 2020-08-04 |
| 1003437492 | New Jersey Robotic Surgery Associates PC | Surgery | 114 Essex St Ste 102, Rochelle Park, NJ 07662-4342 | 2020-04-27 |
| 1386273803 | Felere Cherfils | Surgery | 10 Wyckoff Dr, Pittstown, NJ 08867-4236 | 2020-04-06 |
| 1841829983 | Naeem Patel | Surgery | 1209 89th St, North Bergen, NJ 07047-4462 | 2020-04-01 |
| 1184255119 | Impact Medical & Diagnostics of Nj PC | Surgery | 145 N Franklin Tpke Ste 106, Ramsey, NJ 07446-1634 | 2020-01-29 |
| 1598316143 | Heritage Laparoscopy Acute Care Surgery PC | Surgery | 9 Post Rd Ste M7, Oakland, NJ 07436-1615 | 2019-09-25 |
| 1013570506 | Atlanticare Center for Orthopedic Surgery | Surgery | 2500 English Creek Ave Ste 1201, Egg Harbor Twp, NJ 08234-5549 | 2019-04-19 |
| 1881157550 | Somerset Surgical Associates,llc | Surgery | 575 Route 28 # 3107, Raritan, NJ 08869-1354 | 2019-04-10 |
| 1154884203 | Buchholz Bariatrics | Surgery | 1647 Bay Ave, Point Pleasant Boro, NJ 08742-4501 | 2019-04-07 |
| 1023589553 | L.i.v. Medical Hydration Therapy LLC | Surgery | 201 3rd Ave Apt 3b, Belmar, NJ 07719-2050 | 2018-12-10 |
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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.