Advanced Surgery Center of Clifton, LLC
Organization Active NPI Multi-Specialty Clinic/Center · Clifton, NJ
NPI 1194716142 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1194716142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ADVANCED SURGERY CENTER OF CLIFTON, LLC
- Practice address
- 1200 Route 46
Clifton, NJ 07013-2440 - Phone
- (973) 773-5600
- Fax
- (973) 773-5009
- NPI assigned
- Oct 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Kamal Dutta, M.D.
- Title
- Medical Director
- Phone
- (973) 773-5600
Practitioners 2
-
Kamal Kumar Dutta, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Advanced Surgery Center of Clifton LLC
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050613000060 | NJ | Part B Supplier - Ambulatory Surgical Center | 8820053002 | Practice locations: Clifton, NJ |
National Provider Directory
Locations
1200 US Highway 46
Ste 303
Clifton, NJ 07013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1200 Route 46
Clifton, NJ 07013-2440
Mailing address
1200 Route 46
Clifton, NJ 07013-2440
Phone (973) 773-5600
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- Advanced Care Center
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- Advanced Interventional Pain Consultants, LLC
- Advanced Medical Associates, P.a.
- Advanced Rehabilitation and Wellness Center PC
- Advocare , LLC
- Affiliated Endoscopy Services of Clifton LLC
- Affiliated Foot & Ankle Specialists of Clifton
- Affiliated Foot & Ankle Specialists of Clifton, PA
- Richards Afonja
All providers in Clifton, NJ · Multi-Specialty Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.