Dynamic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DYNAMIC SURGERY CENTER LLC

Practice address

321 Essex St
Hackensack, NJ 07601-2066

Phone

(201) 692-9800

NPI assigned

Dec 22, 2016

Last updated

Jul 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonia Gardella

Title

Director of Operations

Phone

(201) 549-9998

Specialties & licenses 1

Addresses

Other names 1

• Hackensack Specialty ASC, LLC Other name

Electronic endpoints 1

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1285179564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012066",
            "telephone_number": "201-692-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012066",
            "telephone_number": "201-692-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "GARDELLA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "201-549-9998"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sonia@starssi.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "321 Essex St",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076012066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hackensack Specialty ASC, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancy Durning, APN
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• Ambulatory Surgical Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.