Organization Active NPI

Progressive Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Englewood, NJ
National Provider Identifier
1164031118
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PROGRESSIVE SURGICAL CENTER LLC
Practice address
630 E Palisade Ave Ste 2-100
Englewood, NJ 07632-1842
Phone
(201) 581-7010
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Joshua Rovner, MD
Title
Owner
Phone
(201) 227-1299

Specialties & licenses 1

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

Addresses

Primary practice location

630 E Palisade Ave Ste 2-100
Englewood, NJ 07632-1842

Mailing address

630 E Palisade Ave Ste 2-100
Englewood, NJ 07632-1842
Phone (201) 581-7010

National Provider Directory

National Provider Directory

Locations

630 E Palisade Ave
Ste 2100
Englewood, NJ 07632
Phone (201) 581-7010

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1164031118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E PALISADE AVE STE 2-100",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076321842",
            "telephone_number": "201-581-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E PALISADE AVE STE 2-100",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076321842",
            "telephone_number": "201-581-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "ROVNER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-227-1299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.