Provider Demographics
NPI:1407994197
Name:NORTH JERSEY AMBULATORY SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:NORTH JERSEY AMBULATORY SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:BIKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-441-3500
Mailing Address - Street 1:146 ROUTE 17 NORTH
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-441-3500
Mailing Address - Fax:201-441-9205
Practice Address - Street 1:146 ROUTE 17 NORTH
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-441-3500
Practice Address - Fax:201-441-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical