Active NPIOrganization

Renaissance Surgery Center, LLC

Clinic/Center, Ambulatory Surgical in Wyckoff, New Jersey

NPI Number1174884530
Practice location
461 Goffle RD, Wyckoff, NJ 07481-3003
Fax
201-857-0948
Last updated
February 15, 2017

Renaissance Surgery Center, LLC is a healthcare organization based in Wyckoff, NJ. Renaissance Surgery Center, LLC practices in Wyckoff, NJ. The NPI Number for Renaissance Surgery Center, LLC is 1174884530. The current practice location address for Renaissance Surgery Center, LLC is 461 Goffle RD, Wyckoff, NJ 07481-3003 and can be reached out via phone at 201-857-0720 and via fax at 201-857-0948.

Provider Profile Details

NPI Number
1174884530
Provider Name
Renaissance Surgery Center, LLC
Provider Entity Type
Organization
Address
461 Goffle RD, Wyckoff, NJ 07481-3003
Phone Number
201-857-0720
Fax Number
201-857-0948
Primary Taxonomy
Clinic/Center, Ambulatory Surgical · 261QA1903X
Organization Subpart
No
Authorized Official
Mr. Louis G Quartararo, MD · Managing Partner · 201-857-0720
Other Names
International Center For Minimally Invasive Spine Surgery, LLC (Doing Business As)
Provider Enumeration Date
June 1, 2012
Last Update Date
February 15, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
461 Goffle RD
Wyckoff, NJ 07481-3003
Zip
07481-3003
Phone Number
201-857-0720
Fax Number
201-857-0948
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
461 Goffle RD
Wyckoff, NJ 07481-3003
City
Wyckoff
State
NJ
Zip
07481-3003
Phone Number
201-857-0720
Fax Number
201-857-0948

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 Renaissance Surgery Center, LLC?

The NPI number of Renaissance Surgery Center, LLC is 1174884530. It was assigned on June 1, 2012 and is currently active in the NPPES registry.

What is the specialty of Renaissance Surgery Center, LLC?

Renaissance Surgery Center, LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X).

Where does Renaissance Surgery Center, LLC practice?

The practice location is 461 Goffle RD, Wyckoff, NJ 07481-3003. The office can be reached at 201-857-0720 (phone) or 201-857-0948 (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 1174884530 directly on the NPPES registry website.

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