Organization Active NPI

Vanguard Surgical Center, LLC.

  • Ambulatory Surgical Clinic/Center
  • Maywood, NJ
National Provider Identifier
1023350907
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VANGUARD SURGICAL CENTER, LLC.
Practice address
113 Essex St
Maywood, NJ 07607-1020
Phone
(201) 251-7725
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dante A Implicito, M.D.
Title
Managing Member
Phone
(201) 251-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

113 Essex St
Maywood, NJ 07607-1020

Mailing address

113 Essex St
Maywood, NJ 07607-1020
Phone (201) 251-7725

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1023350907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ESSEX ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071020",
            "telephone_number": "201-251-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ESSEX ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071020",
            "telephone_number": "201-251-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD SURGICAL CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "IMPLICITO",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-251-7725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.