Ambulatory Surgical Center of Englewood LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC

Practice address

25 Rockwood PL
Suite 105
Englewood, NJ 07631-4957

Phone

(917) 678-0079

Fax

(347) 284-4982

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jaime Gabriel Gutierrez, M.D.

Title

Owner/President

Phone

(917) 678-0079

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1811389976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588103",
            "telephone_number": "347-284-4500",
            "fax_number": "347-284-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCKWOOD PL",
            "address_2": "SUITE 105",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314957",
            "telephone_number": "917-678-0079",
            "fax_number": "347-284-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-678-0079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary S Alweiss, MD
• Alyssa Bressman LCSW LLC
• Johanna Amar- Eichenwald, PA
• Janet Amaro, M.D.
• Irene B Ambe-Nguni, APN
• Ellen V Amel, MSW
• Jasmeena Amin, APN
• Kayla Lynn Amir, FNP-C
• Amor Homecare of NJ Inc
• Amor Homecare of NJ Inc

• Ambulatory Surgical Clinic/Center in Englewood, NJ
• Providers in Englewood, 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 Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.