MALO CLINICAL CENTER FOR AMBULATORY SURGERY, LLC (NPI# 1861924532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861924532 |
| Entity Type | Organization |
| Organization Name | MALO CLINICAL CENTER FOR AMBULATORY SURGERY, LLC |
| Practice Address |
201 Route 17 12th Floor Rutherford NJ 07070-2574 |
| Mailing Address |
1 Dakota Dr Suite 320 New Hyde Park NY 11042-1135 |
| Practice Telephone | 2013721689 |
| Practice Fax Number | 5166222914 |
| Mailing Telephone | 5166226000 |
| Mailing Fax Number | 5166222914 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | DR. ELLIOT PELLMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5166226000 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
201 ROUTE 17 12TH FLOOR |
| City | RUTHERFORD |
| State | NJ |
| Zip Code | 07070-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790855815 | Renata V Weber | Plastic Surgery | 201 Route 17, 11th Floor, Room 11056, Rutherford, NJ 07070-2574 | 2006-11-08 |
| 1871003194 | Priya Tonseker | Dentist | 201 Route 17, Rutherford, NJ 07070-2574 | 2017-10-02 |
| 1265967863 | Mobile Medical Services of New Jersey, PC | Anesthesiology | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2017-04-21 |
| 1669927240 | Dhara Shah | Dentist | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2016-08-24 |
| 1134579162 | Edward Dominguez | Dentist | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2016-06-21 |
| 1508283862 | Ajit M. Shah, Md PC | Internal Medicine | 201 Route 17, Rutherford, NJ 07070-2574 | 2014-03-25 |
| 1033556626 | Complete Foot and Ankle - Malo | Podiatrist | 201 Route 17, 11th Floor, Rutherford, NJ 07070-2574 | 2013-05-23 |
| 1699118869 | Milad Alam | Orthopaedic Surgery | 201 Route 17, Rutherford, NJ 07070-2574 | 2013-04-08 |
| 1215274410 | Malo Consulting Nj LLC | Clinic/Center | 201 Route 17, Rutherford, NJ 07070-2574 | 2013-01-08 |
| 1114208857 | Institute for Nerve, Hand and Reconstructive Surgery LLC | Plastic Surgery | 201 Route 17, 11th Floor, Room 11056, Rutherford, NJ 07070-2574 | 2011-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528601796 | Casey Cresbaugh | Orthopaedic Surgery | 201 Nj-rt 17, Suite 1202, Rutherford, NJ 07070 | 2019-10-21 |
| 1407317019 | Riverside Surgical Center of Meadowlands, LLC | Clinic/Center | 201 Nj-17, 12th Floor, Rutherford, NJ 07070 | 2019-03-27 |
| 1124437975 | Valerie Pagan | Orthotic Fitter | 154 Union Ave Apt 23, Rutherford, NJ 07070 | 2014-08-06 |
| 1437592946 | Brett Bielory | Ophthalmology | 201 17 North, Suite 1202, Rutherford, NJ 07070 | 2013-04-15 |
| 1427317437 | Jose Manuel Rodriguez | Counselor | 89 Ridge Rd. Suite 4, North Arlington, NJ 07070 | 2012-05-10 |
| 1649565987 | Rahul Gurbux Matnani | Pathology | 201 Route 17 Fl 2, Rutherford, NJ 07070 | 2011-06-15 |
| 1750523379 | Preethi Venugopal Ramaswamy | Dermatology | 201 New Jersey 17, 11th Floor, Rutherford, NJ 07070 | 2009-03-27 |
| 1457545675 | Rutherford Allied Medical Group | Chiropractor | 323 Union Avenue, Rutherford, NJ 07070 | 2007-08-30 |
| 1861612012 | Meadowlands Dental Association | Dentist | 17 Sylvan Street, Suite 205, Rutherford, NJ 07070 | 2007-04-30 |
| 1477672327 | Robert S Freda | Chiropractor | 287 Park Avenue, Rutherford, NJ 07070 | 2007-03-29 |
| Find all providers in zip 07070 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407317019 | Riverside Surgical Center of Meadowlands, LLC | Clinic/Center | 201 Nj-17, 12th Floor, Rutherford, NJ 07070 | 2019-03-27 |
| 1760757165 | Malo Center for Ambulatory Surgery LLC | Clinic/Center | 201 Route 17 North, Rutherford, NJ 07070-2574 | 2012-03-19 |
| 1750303855 | Meadows Surgery Center, LLC | Clinic/Center | 75 Orient Way, Rutherford, NJ 07070-2011 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811599 | Freedom Surgical Center, LLC | Clinic/Center | 1455 Broad St Ste 100, Bloomfield, NJ 07003-3039 | 2020-11-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD |
| Zip Code | 07070 |
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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.