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Accelerated Surgical Center of North Jersey,LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Paterson, NJ

NPI 1700190097 · NPPES record last updated Jul 29, 2010

Key facts

NPI
1700190097
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
ACCELERATED SURGICAL CENTER OF NORTH JERSEY,LLC
Practice address
680 Broadway
Paterson, NJ 07514-1422
Phone
(973) 225-0723
Fax
(212) 671-1414
NPI assigned
Jul 29, 2010
Organization subpart
No

Authorized official

Name
Mr. Sam Rahat
Title
Executive Director
Phone
(347) 683-3008

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2030287Accelerated Surgical Center of North Jersey,LLC
680 Broadway, Suite 203, Paterson, NJ 07514		Certificate of waiverSep 25, 2027

National Provider Directory

Tax ID family
Accelerated Surgical Center of North Jersey LLC (2 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

680 Broadway
Paterson, NJ 07514-1422

Mailing address

680 Broadway
Paterson, NJ 07514-1422
Phone (973) 225-0723

Other providers in Paterson, NJ

All providers in Paterson, NJ · Ambulatory Surgical Clinic/Center in New Jersey

Sources for this page

Verify at the official NPI Registry.