| Sureguard Llc | |
|
8 Windridge Dr North Caldwell NJ 07006-4048 | |
| (866) 280-1543 | |
| Not Available |
| Full Name | Sureguard Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 Windridge Dr, North Caldwell, New Jersey |
| Authorized Official Name and Position | Lee Brochstein (EXECUTIVE DIRECTOR OF CORPORATE OPE) |
| Authorized Official Contact | 7137038642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sureguard Llc 3414 Gannett St Houston TX 77025-3712 Ph: () - | Sureguard Llc 8 Windridge Dr North Caldwell NJ 07006-4048 Ph: (866) 280-1543 |
| NPI Number | 1750152351 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 6709241763 |
|---|---|
| Medicare Enrollment ID | O20240528001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750152351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Aron M Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891726238 PECOS PAC ID: 5294739827 Enrollment ID: I20070815000002 |
| Provider Name | Ogechi Enwereji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114616059 PECOS PAC ID: 8022470004 Enrollment ID: I20230809000525 |