Pediatric Surgicalcare, LLC
Specialist in Ridgewood, NJ. Organization (NPI-2).
NPI number1124459714
StatusActive
Last updated in NPPESDec 6, 2013
Details
- NPI
- 1124459714
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Surgicalcare, LLC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2013
- Last updated
- Dec 6, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 25MA08195900 | NJ | Yes |
Practice location
313 Bedford RdRidgewood, NJ 07450-1327
Phone 201-225-0029 · Fax 201-225-0031
Mailing address
313 Bedford RoadRidgewood, NJ 07450
Phone 201-225-0029 · Fax 201-225-0031
Authorized official
Frederick Alexander
Owner/Physcian
2012250029
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