Provider Demographics
NPI:1407317019
Name:RIVERSIDE SURGICAL CENTER OF MEADOWLANDS, LLC
Entity Type:Organization
Organization Name:RIVERSIDE SURGICAL CENTER OF MEADOWLANDS, LLC
Other - Org Name:RIVERSIDE SURGICAL CENTER OF RUTHERFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-806-2678
Mailing Address - Street 1:201 NJ-17
Mailing Address - Street 2:12TH FLOOR
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070
Mailing Address - Country:US
Mailing Address - Phone:201-806-2678
Mailing Address - Fax:844-494-7963
Practice Address - Street 1:201 NJ-17
Practice Address - Street 2:12TH FLOOR
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070
Practice Address - Country:US
Practice Address - Phone:201-806-2678
Practice Address - Fax:844-494-7963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical