Active NPIOrganization

Ambulatory Surgical Center Of Pompton Lakes, LLC

Clinic/Center, Ambulatory Surgical in Pompton Lakes, New Jersey

NPI Number1063077402
Practice location
111 Wanaque Ave, Pompton Lakes, NJ 07442-2101
Fax
973-968-6660
Last updated
August 10, 2021

Ambulatory Surgical Center Of Pompton Lakes, LLC is a healthcare organization based in Pompton Lakes, NJ. Ambulatory Surgical Center Of Pompton Lakes, LLC practices in Pompton Lakes, NJ. The NPI Number for Ambulatory Surgical Center Of Pompton Lakes, LLC is 1063077402. The current practice location address for Ambulatory Surgical Center Of Pompton Lakes, LLC is 111 Wanaque Ave, Pompton Lakes, NJ 07442-2101 and can be reached out via phone at 973-225-0732 and via fax at 973-968-6660.

Provider Profile Details

NPI Number
1063077402
Provider Name
Ambulatory Surgical Center Of Pompton Lakes, LLC
Provider Entity Type
Organization
Address
111 Wanaque Ave, Pompton Lakes, NJ 07442-2101
Phone Number
973-225-0732
Fax Number
973-968-6660
Primary Taxonomy
Clinic/Center, Ambulatory Surgical · 261QA1903X
Organization Subpart
No
Authorized Official
Denise Pallis · Dir Of Credentialing · 201-874-9084
Provider Enumeration Date
May 1, 2019
Last Update Date
August 10, 2021
Certification Date
August 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Wanaque Ave
Pompton Lakes, NJ 07442-2101
Zip
07442-2101
Phone Number
973-225-0732
Fax Number
973-968-6660
Pompton Lakes, NJ 07442Get directions →

Provider Business Mailing Address Details

Address
111 Wanaque Ave
Pompton Lakes, NJ 07442-2101
City
Pompton Lakes
State
NJ
Zip
07442-2101
Fax Number
973-968-6660

License Information

Taxonomy
Clinic/Center, Ambulatory Surgical · 261QA1903X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ambulatory Surgical Center Of Pompton Lakes, LLC?

The NPI number of Ambulatory Surgical Center Of Pompton Lakes, LLC is 1063077402. It was assigned on May 1, 2019 and is currently active in the NPPES registry.

What is the specialty of Ambulatory Surgical Center Of Pompton Lakes, LLC?

Ambulatory Surgical Center Of Pompton Lakes, LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X).

Where does Ambulatory Surgical Center Of Pompton Lakes, LLC practice?

The practice location is 111 Wanaque Ave, Pompton Lakes, NJ 07442-2101. The office can be reached at 973-225-0732 (phone) or 973-968-6660 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063077402 directly on the NPPES registry website.

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