Pascack Valley Surgical Association PA
Specialist in Englewood, New Jersey
1215085949- Practice location
- 140 Grand Ave, Englewood, NJ 07631-6581
- Phone
- 201-227-7411
- Fax
- 201-227-7433
- Last updated
- August 22, 2020
Pascack Valley Surgical Association PA is a healthcare organization based in Englewood, NJ. Pascack Valley Surgical Association PA practices in Englewood, NJ. The NPI Number for Pascack Valley Surgical Association PA is 1215085949 and holds a License No. MB57235 (NJ). The current practice location address for Pascack Valley Surgical Association PA is 140 Grand Ave, Englewood, NJ 07631-6581 and can be reached out via phone at 201-227-7411 and via fax at 201-227-7433.
Provider Profile Details
- NPI Number
- 1215085949
- Provider Name
- Pascack Valley Surgical Association PA
- Provider Entity Type
- Organization
- Address
- 140 Grand Ave, Englewood, NJ 07631-6581
- Phone Number
- 201-227-7411
- Fax Number
- 201-227-7433
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. John L Holup, DO · Surgeon · 201-227-7411
- Provider Enumeration Date
- January 8, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Grand Ave
Englewood, NJ 07631-6581 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-6581
- Phone Number
- 201-227-7411
- Fax Number
- 201-227-7433
Provider Business Mailing Address Details
- Address
- Po Box 729
Franklin Lakes, NJ 07417-0729 - City
- Franklin Lakes
- State
- NJ
- Zip
- 07417-0729
- Phone Number
- 201-227-7411
- Fax Number
- 201-227-7433
License Information
- License Number
- MB57235
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Pascack Valley Surgical Association PA?
The NPI number of Pascack Valley Surgical Association PA is 1215085949. It was assigned on January 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Pascack Valley Surgical Association PA?
Pascack Valley Surgical Association PA is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MB57235.
Where does Pascack Valley Surgical Association PA practice?
The practice location is 140 Grand Ave, Englewood, NJ 07631-6581. The office can be reached at 201-227-7411 (phone) or 201-227-7433 (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 1215085949 directly on the NPPES registry website.