Provider Demographics
NPI:1306371042
Name:PARKWAY AMBULATORY SURGERY CENTER LLC
Entity Type:Organization
Organization Name:PARKWAY AMBULATORY SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:WAQAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-504-1400
Mailing Address - Street 1:70 RIDGE RD
Mailing Address - Street 2:2 ND FLOOR
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1216
Mailing Address - Country:US
Mailing Address - Phone:201-504-1400
Mailing Address - Fax:
Practice Address - Street 1:70 RIDGE RD
Practice Address - Street 2:2 ND FLOOR
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1216
Practice Address - Country:US
Practice Address - Phone:973-619-2638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical