Active NPI
Naspac 1 Pro LLC
- Ambulatory Surgical Clinic/Center
- Newark, DE
National Provider Identifier
1295514669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NASPAC 1 PRO LLC
- Practice address
- 2600 Glasgow Ave
Newark, DE 19702-4773 - Phone
- (302) 439-3063
- Fax
- (302) 439-3372
- NPI assigned
- Sep 26, 2023
- 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
- Renee Bogdol
- Title
- Revenue Cycle Director
- Phone
- (609) 845-3988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2600 Glasgow Ave
Newark, DE 19702-4773
Mailing address
404 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone (609) 845-3988
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1295514669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 CREEK CROSSING BLVD",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362768",
"telephone_number": "609-845-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GLASGOW AVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197024773",
"telephone_number": "302-439-3063",
"fax_number": "302-439-3372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASPAC 1 PRO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "BOGDOL",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "609-845-3988"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.