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SURGICORE OF JERSEY CITY LLC. NPI 1184151425


NPI Information

NPI: 1184151425
Provider Name: SURGICORE OF JERSEY CITY, LLC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 31D0903197

Address:
550 NEWARK AVE FL 5
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 795-0205
Get Directions

SURGICORE OF JERSEY CITY, LLC. is a clinic center in Jersey City, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SURGICORE OF JERSEY CITY, LLC. NPI is 1184151425. The provider is registered as an organization entity type.

The provider's business location address is:

550 NEWARK AVE FL 5
JERSEY CITY, NJ
ZIP 07306-326
Phone: (201) 795-0205
Fax: (201) 795-0737

The provider's authorized official is Anthony Degradi .
The authorized official title is Owner and has the following contact phone number (631) 495-5262.

The CLIA number assigned to this NPI record is 31D0903197 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2017 and was last updated on 5/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center80193NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.