MEDICARE: SEIDENBERG PROTZKO SURGERY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	A1432	MD

General Provider Information

NPI Number	:	1922055235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEIDENBERG PROTZKO SURGERY CENTER LLC

Provider Business Mailing Address
First Line	:	420 MOUNTAIN AVE FL 4
Second Line	:
City	:	NEW PROVIDENCE
State	:	NJ
Zip	:	07974-2736
Country	:	US
Telephone Number	:	908-458-8313
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 BEARDS HILL RD
Second Line	:	SUITE 700
City	:	ABERDEEN
State	:	MD
Zip	:	21001-2232
Country	:	US
Telephone Number	:	410-273-9096
Fax Number	:	410-273-9146

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	STEVEN MADREPERLA
Credential	:	MD, PHD
Telephone Number	:	908-458-8333

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	10/08/2025

Similar Medicare Providers

1750594347 — SECURUS ANESTHESIA LLC
Practice Location Address:

1111 BEARDS HILL RD , SUITE 700
ABERDEEN, MD
21001-2232

Practice Phone: 410-273-9096
Practice Fax:

1366330813 — KELLY RENAE BIRKLA
Practice Location Address:

1117 11TH AVE NE
ABERDEEN, SD
57401-2232

Practice Phone: 605-216-3343
Practice Fax:

1992653877 — MRS. OLIVIA MCKOY-EASY MCKOY-EASY PMHNP-BC
Practice Location Address:

342 PENRITH WAY
ABERDEEN, MD
21001-1847

Practice Phone: 347-641-2429
Practice Fax:

1235084203 — TRINITY TILGHMAN
Practice Location Address:

501 W EDGEWOOD DR
ABERDEEN, MD
21001

Practice Phone: 717-681-8294
Practice Fax:

1932055035 — ROOTED AND RADIANT LLC
Practice Location Address:

880 BRIGADIER WAY
ABERDEEN, MD
21001-1371

Practice Phone: 443-294-5510
Practice Fax:

1376490052 — HEATHER LYNN DUNDAS LMSW
Practice Location Address:

135 N PARKE ST
ABERDEEN, MD
21001-2428

Practice Phone: 443-625-1600
Practice Fax:

Directions to “SEIDENBERG PROTZKO SURGERY CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.