SURGICAL PA SERVICES, PC (NPI# 1811529290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811529290 |
| Entity Type | Organization |
| Organization Name | SURGICAL PA SERVICES, PC |
| Practice Address |
525 Route 73 N Ste 104 Marlton NJ 08053-3422 |
| Mailing Address |
6524 Ellwell Cres Rego Park NY 11374-5032 |
| Practice Telephone | 6463464304 |
| Mailing Telephone | 6463464304 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | JACOB KATANOV (PRESIDENT) |
| Authorized Official Telephone | 6463464304 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Surgical PA Services, PC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SURGICAL PA SERVICES, PC | 6524 Ellwell Cresc, Rego Park, Ny 11374 |
| Street Address |
525 ROUTE 73 N STE 104 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902063746 | Jason Charles Hunt | Psychologist | 525 Route 73 N Ste 104, Marlton, NJ 08053 | 2008-05-20 |
| 1932713997 | The Voice Angels | Clinic/Center | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-09-06 |
| 1356951032 | Nutrition Hungry LLC | Dietitian, Registered | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-08-06 |
| 1649898750 | Tiffany Blake | Counselor | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-07-06 |
| 1902446776 | Double Care Applied Behavior Analysis Inc | Behavioral Analyst | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2020-01-09 |
| 1356988661 | Peds Purpose LLC | Pediatrics | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2019-12-05 |
| 1194373761 | Early Achievements LLC | Clinic/Center | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2019-08-27 |
| 1477113173 | Innovative Day of New Jersey | Day Training, Developmentally Disabled Services | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2019-06-16 |
| 1801374046 | Behavioral Health and Anxiety Reduction, LLC | Psychologist | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2018-07-31 |
| 1629568449 | Psychfocus Consulting LLC | Social Worker | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385665 | Amanda Bartsch | Physician Assistant | 1001 Route 73 N Uppr Level, Marlton, NJ 08053 | 2017-09-21 |
| 1326416934 | Brenna Dean | Physician Assistant | 525 Route 73 S, Suite 300, Marlton, NJ 08053-9642 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SURGICAL PA SERVICES, PC.
| 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.