ADVANCED SURGICAL CENTER OF BERGEN COUNTY, P.C.; NPI #1679966907

Contact Information

ADVANCED SURGICAL CENTER OF BERGEN COUNTY, P.C.

1200 E RIDGEWOOD AVE
STE 211
RIDGEWOOD, NJ 07450-3957

Phone: 201-493-1717
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for ADVANCED SURGICAL CENTER OF BERGEN COUNTY, P.C.

NPI Number 1679966907

LBN Legal business name ADVANCED SURGICAL CENTER OF BERGEN COUNTY, P.C.

Authorized official JOSHUA FOX - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/11/2015

Last updated 03/11/2015 - About 11 years ago

Identifiers

NJ	License #	5634
NJ	Other	5634	AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.

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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