NPIMap

Organization Active NPI

Excel Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hackensack, NJ
National Provider Identifier
1699055541
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23264 Issued in NJ
Legal business name
EXCEL SURGERY CENTER, LLC
Practice address
321 Essex St
Hackensack, NJ 07601-2066
Phone
(201) 692-9800
Fax
(201) 692-9801
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mr. Yan Moshe
Title
Owner/Manager
Phone
(212) 795-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23264 NJ Primary

Addresses

Primary practice location

321 Essex St
Hackensack, NJ 07601-2066

Mailing address

321 Essex St
Hackensack, NJ 07601-2066
Phone (201) 692-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1699055541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012066",
            "telephone_number": "201-692-9800",
            "fax_number": "201-692-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ESSEX ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012066",
            "telephone_number": "201-692-9800",
            "fax_number": "201-692-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "MOSHE",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "212-795-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.