Active NPI
Progressive Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Englewood, NJ
National Provider Identifier
1164031118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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": []
}
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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.