BLOOMFIELD SURGI-CENTER, LLC; NPI #1013921964

Contact Information

BLOOMFIELD SURGI-CENTER, LLC

1255 BROAD STREET
SUITE 200
BLOOMFIELD, NJ 07003-3061

Phone: 973-842-2150
Fax: 973-338-3545
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center
Pain	261QP3300X

Indicates primary specialty

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NPI Profile & details for BLOOMFIELD SURGI-CENTER, LLC

NPI Number 1013921964

LBN Legal business name BLOOMFIELD SURGI-CENTER, LLC

Authorized official HENRY KILROY - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/28/2006

Last updated 08/11/2025 - About 10 months ago

Identifiers

	License #	23459
NJ	License #	23459

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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