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COUNTY LINE ENDOSCOPY & SURGICAL CENTER LLC NPI 1437229135


NPI Information

NPI: 1437229135
Provider Name: COUNTY LINE ENDOSCOPY & SURGICAL CENTER LLC

Other Name: COUNTY LINE ASC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
9226 KENNEDY BLVD
UNIT A
NORTH BERGEN, NJ
ZIP 07047
Phone: (201) 295-0900
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COUNTY LINE ENDOSCOPY & SURGICAL CENTER LLC is an ambulatory surgical clinic center in North Bergen, NJ. COUNTY LINE ENDOSCOPY & SURGICAL CENTER LLC NPI is 1437229135. The provider is registered as an organization entity type.
The provider Other Name Is County Line Asc.

The provider's business location address is:

9226 KENNEDY BLVD
UNIT A
NORTH BERGEN, NJ
ZIP 07047
Phone: (201) 295-0900
Fax: (201) 869-9501

The provider's authorized official is Maria P Lugo .
The authorized official title is Office Mgr and has the following contact phone number (201) 295-0900.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 5/13/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1087288MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2311175OTHERNEW JERSEYHORIZON BCBS

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: 5/5/2024
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