Mulberry Ambulatory Surgical Center, LLC
Clinic/Center, Ambulatory Surgical in Newark, New Jersey
1639561293- Practice location
- 393-397 Mulberry Street, Newark, NJ 07012-3417
- Phone
- 929-400-2159
- Fax
- —
- Last updated
- May 6, 2015
Mulberry Ambulatory Surgical Center, LLC is a healthcare organization based in Newark, NJ. Mulberry Ambulatory Surgical Center, LLC practices in Newark, NJ. The NPI Number for Mulberry Ambulatory Surgical Center, LLC is 1639561293 and holds a License No. 25MA07669400 (NJ). The current practice location address for Mulberry Ambulatory Surgical Center, LLC is 393-397 Mulberry Street, Newark, NJ 07012-3417 and can be reached out via phone at 929-400-2159.
Provider Profile Details
- NPI Number
- 1639561293
- Provider Name
- Mulberry Ambulatory Surgical Center, LLC
- Provider Entity Type
- Organization
- Address
- 393-397 Mulberry Street, Newark, NJ 07012-3417
- Phone Number
- 929-400-2159
- Primary Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X
- Organization Subpart
- No
- Authorized Official
- Dr. Domenica M Barritta, MD · Owner/ Director · 929-400-2159
- Provider Enumeration Date
- February 19, 2015
- Last Update Date
- May 6, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 393-397 Mulberry Street
Newark, NJ 07012-3417 - City
- Newark
- State
- New Jersey
- Zip
- 07012-3417
- Phone Number
- 929-400-2159
Provider Business Mailing Address Details
- Address
- Po Box 9425
New York, NY 10087-9425 - City
- New York
- State
- NY
- Zip
- 10087-9425
- Phone Number
- 212-874-3384
License Information
- License Number
- 25MA07669400
- License State
- NJ
- Taxonomy
- Clinic/Center, Ambulatory Surgical · 261QA1903X · 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 Mulberry Ambulatory Surgical Center, LLC?
The NPI number of Mulberry Ambulatory Surgical Center, LLC is 1639561293. It was assigned on February 19, 2015 and is currently active in the NPPES registry.
What is the specialty of Mulberry Ambulatory Surgical Center, LLC?
Mulberry Ambulatory Surgical Center, LLC is registered under the primary taxonomy Clinic/Center, Ambulatory Surgical (code 261QA1903X), licensed in NJ under license number 25MA07669400.
Where does Mulberry Ambulatory Surgical Center, LLC practice?
The practice location is 393-397 Mulberry Street, Newark, NJ 07012-3417. The office can be reached at 929-400-2159 (phone).
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 1639561293 directly on the NPPES registry website.