Bergenfield Surgical Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Bergenfield, NJ
NPI 1992109334 · NPPES record last updated Jul 28, 2015
Key facts
- NPI
- 1992109334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- BERGENFIELD SURGICAL CENTER LLC
- Practice address
- 1 N Washington Ave
Suite a
Bergenfield, NJ 07621-2125 - Phone
- (201) 374-2829
- Fax
- (201) 374-2835
- NPI assigned
- Oct 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Wendy Condo, RN, BSN
- Title
- Administrator
- Phone
- (201) 374-2829
Member of 1
Practitioners 2
-
Isaac Abramchayev, P.A
-
Vagmin P Vora, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Bergenfield Surgical Center LLC
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150812007996 | NJ | Part B Supplier - Ambulatory Surgical Center | 1153636634 | Practice locations: Bergenfield, NJ |
National Provider Directory
Locations
1 N Washington Ave
Ste A
Bergenfield, NJ 07621
Phone (201) 374-2829
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
1 N Washington Ave
Suite a
Bergenfield, NJ 07621-2125
Mailing address
1 N Washington Ave
Suite a
Bergenfield, NJ 07621-2125
Phone (201) 374-2829
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All providers in Bergenfield, NJ · Ambulatory Surgical Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.