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HERITAGE SURGICAL GROUP, LLC
NPI 1346674090
Surgery in Teaneck, NJ

Active since August 29, 2013
741 TEANECK RD, SUITE B, TEANECK, NJ 07666(201) 833-2888(201) 833-1010 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heritage Surgical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE SURGICAL GROUP, LLC (NPI 1346674090) is a healthcare organization registered as a surgery in Teaneck, New Jersey and active in the NPI registry since August 2013. The organization lists Stavros Christoudias, Member, as its authorized official.

NPPES Registry Identity

NPI1346674090
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameHERITAGE SURGICAL GROUP, LLC
Location Address741 TEANECK RD, SUITE BTeaneck, NJ 07666-4243
Mailing Address741 Teaneck Rd, Suite BTeaneck, NJ 07666-4243 · (201) 833-2888 · Fax (201) 833-1010
Phone(201) 833-2888
Fax(201) 833-1010
Organization SubpartNo
Authorized OfficialStavros ChristoudiasMember · (201) 833-2888
Enumeration DateAugust 29, 2013
✔ NPI 1346674090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA08710300
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
741 TEANECK RD, Teaneck, NJ 07666
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heritage Surgical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Heritage Surgical Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Stavros Christoudias, M.D.
General Surgery
NPI 1679710875
741 TEANECK RD SUITE B
Teaneck, NJ 07666
(201) 833-2888
✔ PECOS✔ Accepts MedicareSame address
Julie Zavadenko
Nurse Practitioner
NPI 1013306786
678 ALEXANDER CT
River Vale, NJ 07675
(201) 290-7957
✔ PECOS✔ Accepts Medicare10 mi
Steven Waxenbaum, MD
Colorectal Surgery (Proctology)
NPI 1952373466
216 ENGLE ST
Englewood, NJ 07631
(201) 567-7615
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Surgical Group, LLC's NPI number?

The NPI number for Heritage Surgical Group, LLC is 1346674090. It was assigned to this organization in the NPPES registry on August 29, 2013.

Where is Heritage Surgical Group, LLC located?

Heritage Surgical Group, LLC is located at 741 Teaneck Rd Suite B, Teaneck, NJ 07666. The listed phone number is (201) 833-2888.

What is Heritage Surgical Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Heritage Surgical Group, LLC enrolled in Medicare?

Yes. Heritage Surgical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heritage Surgical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Heritage Surgical Group, LLC, in Colorectal Surgery (Proctology), General Surgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heritage Surgical Group, LLC was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.