Heritage General and Colorectal Surgery, PA
NPI 1912459348ActiveOrganization· Surgery· Teaneck, NJ
Surgery in Teaneck, New Jersey, registered in NPPES in November 2016. The authorized official on file is Farshad Mansouri, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912459348 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2016 |
| Last updated in NPPES | Nov 2, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Colon & Rectal Surgery | 208C00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Surgery providers in Teaneck
- 1811573934
- 1932987740
- 1700225216
- 1346674090
- 1245425040
- 1235582107
- 1942525290
- 1134710866
- 1992580039
- 1629475264
- 1083939433
- 1598832263