Atlantic North Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ATLANTIC NORTH SURGICAL CENTER, LLC

Practice address

111 Wanaque Ave
Pompton Lakes, NJ 07442-2101

Phone

(973) 970-8655

NPI assigned

Mar 17, 2014

Organization subpart

No

Name

Sam Rahat

Title

Director

Phone

(347) 683-3008

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2014.

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1356767289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422101",
            "telephone_number": "973-970-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WANAQUE AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422101",
            "telephone_number": "973-970-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC NORTH SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "RAHAT",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-683-3008"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James George Alfano Jr., LCSW
• All 4 Therapy
• Allwell Pain MGMT & Rehab Center PC
• Tina Amador, LPC
• Ambulatory Surgical Center of Pompton Lakes, LLC
• Christina Azzaro
• Bancroft, a New Jersey Nonprofit Corporation
• Barbara Jean Keane, M.S.W., L.C.SW.
• Bart Cohen P.a.
• Stafford Wendell Barton, LPC

• All providers in Pompton Lakes, NJ
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.