Organization Active NPI

Montvale Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Montvale, NJ
National Provider Identifier
1629254768
Registry record updated Jan 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MONTVALE SURGICAL CENTER, LLC
Practice address
6 Chestnut Ridge Rd
Montvale, NJ 07645-1802
Phone
(201) 391-8282
NPI assigned
Jan 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2008

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

Authorized official

Name
Dr. David Gamburg, MD
Title
Member
Phone
(845) 641-1727

Specialties & licenses 1

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

Addresses

Primary practice location

6 Chestnut Ridge Rd
Montvale, NJ 07645-1802

Mailing address

6 Chestnut Ridge Rd
Montvale, NJ 07645-1802
Phone (201) 391-8282

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200700800000",
    "number": "1629254768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451802",
            "telephone_number": "201-391-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451802",
            "telephone_number": "201-391-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVALE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-19",
        "last_updated": "2008-01-19",
        "status": "A",
        "authorized_official_last_name": "GAMBURG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-641-1727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2008; 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.