Hasbrouck Heights Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HASBROUCK HEIGHTS SURGERY CENTER, LLC

Practice address

214 Terrace Ave
First Floor
Hasbrouck Heights, NJ 07604-1815

Phone

(201) 288-6330

Fax

(201) 288-6331

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter McGovern, MDNPI 1770674004

Title

President

Phone

(201) 288-6330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Ambulatory surgical center certification: CCN 31C0001279

Legal name

HASBROUCK HEIGHTS SURGERY CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 11, 2011

Last certification

Feb 14, 2019

Ownership / control type

Proprietary

Facility address

214 Terrace Avenue
Hasbrouck Heights, NJ 07604

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter G. McGovern, M.D.

  • Reproductive Endocrinology Physician
  • New York, NY
  • NPI 1770674004
  NPD (past) Authorized official

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1659505857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 TERRACE AVE",
            "address_2": "FIRST FLOOR",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041815",
            "telephone_number": "201-288-6330",
            "fax_number": "201-288-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 TERRACE AVE",
            "address_2": "FIRST FLOOR",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041815",
            "telephone_number": "201-288-6330",
            "fax_number": "201-288-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASBROUCK HEIGHTS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-288-6330",
        "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": []
}

• Anna Jennifer Gonzalez, AGACNP-BC, ACNPC-AG
• Heather Yvonne Goss
• Daiana M Guirguis
• Hackensack University Medical Center
• Hasbrouck Heights Board of Education
• Ramin Shayegan Hastings, MD
• Heights Health Care, Inc
• Heights Home Care PC
• Heights Medical Associates PA
• Heights Medical Associates PA

• Ambulatory Surgical Clinic/Center in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, 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 May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.