Heritage Surgical Group, LLC
NPI 1346674090ActiveOrganization· Surgery· Teaneck, NJ
Surgery in Teaneck, New Jersey, registered in NPPES in August 2013. The authorized official on file is Stavros Christoudias, M.D., Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346674090 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2013 |
| Last updated in NPPES | Aug 29, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 25MA08710300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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