National Provider Identifier Database

BLOOMFIELD SURGI CENTER LLC
Ambulatory Surgical


Contact Information

BLOOMFIELD SURGI-CENTER, LLC
1255 BROAD STREET
SUITE 200
BLOOMFIELD, NJ07003-3061
Phone: 973-842-2150
Fax: 973-338-3545
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X
Pain 261QP3300X

* Indicates primary specialty

NPI Profile & details for BLOOMFIELD SURGI-CENTER, LLC

NPI Number 1013921964
Legal business name
LBN
BLOOMFIELD SURGI-CENTER, LLC
Authorized official HENRY KILROY - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/28/2006
Last updated 08/11/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • License #: 23459
  • NJ License #: 23459

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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