Organization Active NPI

Bergen Passaic Ambulatory Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Clifton, NJ
National Provider Identifier
1902905607
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BERGEN PASSAIC AMBULATORY SURGERY CENTER INC
Practice address
1084 Main Ave
Clifton, NJ 07011-2330
Phone
(973) 473-4040
Fax
(973) 472-2451
NPI assigned
Sep 21, 2006
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Theresa Vargas
Title
C.E.O
Phone
(201) 838-6060

Specialties & licenses 1

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

Addresses

Primary practice location

1084 Main Ave
Clifton, NJ 07011-2330

Mailing address

1084 Main Ave
Clifton, NJ 07011-2330
Phone (973) 473-4040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1902905607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112330",
            "telephone_number": "973-473-4040",
            "fax_number": "973-472-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112330",
            "telephone_number": "973-473-4040",
            "fax_number": "973-472-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PASSAIC AMBULATORY SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "201-838-6060"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.