CENTER FOR MODERN SURGERY LLC NPI 1588131627

NPI Information

NPI: 1588131627
Provider Name: CENTER FOR MODERN SURGERY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 31D2158170

Address:
210 MEADOWLANDS PKWY STE 5
SECAUCUS, NJ
ZIP 07094
Phone: (240) 669-3134
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CENTER FOR MODERN SURGERY LLC is an ambulatory surgical clinic center in Secaucus, NJ. CENTER FOR MODERN SURGERY LLC NPI is 1588131627. The provider is registered as an organization entity type.

The provider's business location address is:

210 MEADOWLANDS PKWY STE 5
SECAUCUS, NJ
ZIP 07094-306
Phone: (240) 669-3134
Fax: (240) 669-3053

The provider's authorized official is Robert C Lacava .
The authorized official title is Administrator and has the following contact phone number (240) 669-3134.

The CLIA number assigned to this NPI record is 31D2158170 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2018 and was last updated on 9/20/2019.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	1588131627	OTHER	NEW JERSEY	NPI

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

NPI Synchronization or Removal

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