PEDIATRIC SURGICALCARE LLC NPI 1124459714

NPI Information

  • NPI: 1124459714
  • Provider Name: PEDIATRIC SURGICALCARE, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 313 BEDFORD RD
    RIDGEWOOD, NJ
    ZIP 07450
  • Phone: (201) 225-0029

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NPI Details

PEDIATRIC SURGICALCARE, LLC is a specialist in Ridgewood, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC SURGICALCARE, LLC NPI is 1124459714. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

313 BEDFORD RD
RIDGEWOOD, NJ
ZIP 07450-327
Phone: (201) 225-0029
Fax: (201) 225-0031

The provider's authorized official is Frederick Alexander .
The authorized official title is Owner/physcian and has the following contact phone number (201) 225-0029.

The enumeration date for this NPI number is 12/6/2013 and was last updated on 12/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA08195900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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