IRONBOUND ENDO SURGICAL CENTER INC. NPI 1538389812

NPI Information

  • NPI: 1538389812
  • Provider Name: IRONBOUND ENDO SURGICAL CENTER, INC.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 24-28 MERCHANT STREET
    NEWARK, NJ
    ZIP 07105
  • Phone: (973) 344-4787

Map and Directions

Get Directions

NPI Details

IRONBOUND ENDO SURGICAL CENTER, INC. is an ambulatory surgical clinic center in Newark, NJ. IRONBOUND ENDO SURGICAL CENTER, INC. NPI is 1538389812. The provider is registered as an organization entity type.

The provider's business location address is:

24-28 MERCHANT STREET
NEWARK, NJ
ZIP 07105-847
Phone: (973) 344-4787
Fax: (973) 344-5881

The provider's authorized official is Domenica M Barritta .
The authorized official title is Owner/md and has the following contact phone number (973) 344-4787.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)

The enumeration date for this NPI number is 4/27/2007 and was last updated on 12/8/2022.

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
18482501MEDICAIDNEW JERSEY

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: 3/30/2025

NPI Synchronization or Removal

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.