Surgery Center of Hackensack, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF HACKENSACK, LLC

Practice address

146 N State RT 17 Ste A1 & A2 Lowr Level
Hackensack, NJ 07601-1069

Phone

(551) 999-9064

Fax

(833) 428-8546

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

William Vanderveer

Title

Managing Member

Phone

(551) 999-9064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• David Wells-Roth, MD

  • Neurological Surgery Physician
  • Edison, NJ
  • NPI 1366576845
  NPD (past)

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1922823095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MORRIS AVE STE 220",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N STATE RT 17 STE A1 & A2 LOWR LEVEL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011069",
            "telephone_number": "551-999-9064",
            "fax_number": "833-428-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF HACKENSACK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "VANDERVEER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "551-999-9064"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woojae Sung, DPT
• Bhanu K Sunku, MD
• Superb Diagnostics, LLC
• Superb Pathology, PC
• Padmaja Surapaneni, M.D.
• Kirin Noelle Suri, MD
• Umara Khanam Suri, PA
• Balaji Sutharsanam, M.D.
• Pamela Ruth Sutherland, RN, MSN, APN-BC
• Rebecca Sutton, MS, CGC, LGC

• Ambulatory Surgical Clinic/Center in Hackensack, NJ
• Providers in Hackensack, 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 Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.