AFFINITY SURGICAL ASSOCIATES, LLC – Neurological Surgery Physician, NPI 1962854232

AFFINITY SURGICAL ASSOCIATES, LLC is a healthcare provider. based in Paramus, New Jersey. specializing in Neurological Surgery Physician. The organization holds a License No. MA067801 (NJ). The NPI Number for AFFINITY SURGICAL ASSOCIATES, LLC is 1962854232

Main info

Organization
Name
AFFINITY SURGICAL ASSOCIATES, LLC
NPI
1962854232
Phone
(516) 587-3406
Address
205 HOMESTEAD RD
Authorized Official
TONY JACOB PRESIDENT P.A.
Enumeration Date
11 July 2016
Last Update Date
18 October 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for AFFINITY SURGICAL ASSOCIATES, LLC

  • 205, Homestead Road, Paramus, Bergen County, New Jersey, 07652, United States

    PARAMUS, NJ 076524709

    Phone: (516) 587-3406

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20231005000068OClinic/Group PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07652)

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Reviews

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Frequently asked questions

Does AFFINITY SURGICAL ASSOCIATES, LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AFFINITY SURGICAL ASSOCIATES, LLC uses 1962854232.
Does CMS list AFFINITY SURGICAL ASSOCIATES, LLC as active?
Yes — AFFINITY SURGICAL ASSOCIATES, LLC is active in the NPI listing used on this page.
What is AFFINITY SURGICAL ASSOCIATES, LLC's primary classification?
Neurological Surgery Physician is the headline specialty for AFFINITY SURGICAL ASSOCIATES, LLC here. Clinical services aligned with this taxonomy classification.
What area does AFFINITY SURGICAL ASSOCIATES, LLC serve?
AFFINITY SURGICAL ASSOCIATES, LLC's listing highlights Paramus, New Jersey; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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