Organization Active NPI

Bergen Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Saddle Brook, NJ
National Provider Identifier
1548327224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23116 Issued in NJ
Legal business name
BERGEN AMBULATORY SURGERY CENTER
Practice address
190 Midland Ave
Saddle Brook, NJ 07663-6408
Phone
(973) 405-6888
Fax
(973) 405-6889
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tamara E Dunaev
Title
Administrator
Phone
(973) 405-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23116 NJ Primary

Addresses

Primary practice location

190 Midland Ave
Saddle Brook, NJ 07663-6408

Mailing address

190 Midland Ave
Saddle Brook, NJ 07663-6408
Phone (973) 405-6888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548327224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636408",
            "telephone_number": "973-405-6888",
            "fax_number": "973-405-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MIDLAND AVE",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636408",
            "telephone_number": "973-405-6888",
            "fax_number": "973-405-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNAEV",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-405-6888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.