Hackensack Musculoskeletal Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HACKENSACK MUSCULOSKELETAL SURGERY CENTER, LLC

Practice address

40 Prospect Ave
Hackensack, NJ 07601-1915

Phone

(551) 309-1700

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

John Keenan

Title

Ceo/ Administrator

Phone

(551) 309-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Hackensack Musculoskeletal Surgery Center LLCCCN 31C0001361

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• HMH Hospitals Corporation

  • Pharmacy
  • Brick, NJ
  • NPI 1336310895

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1972254233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-309-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-309-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK MUSCULOSKELETAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "551-309-1700"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackensack Medical Imaging
• Hackensack Meridian Ambulatory Care, Inc.
• Hackensack Meridian Health Medical Group - Specialty Care PC
• Hackensack Meridian Health Medical Group - Specialty Care PC
• Hackensack Meridian Health Medical Group - Specialty Care PC
• Hackensack NJ Medical Group PC
• Hackensack Non Invasive
• Hackensack Non Invasive Vascular Laboratory Associates
• Hackensack Occupational Medicine Associates
• Hackensack Oral and Maxillofacial Surgery Associates, P.a.

• 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 Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.