Provider Demographics
NPI:1568904837
Name:HEALTHPLUS SURGERY CENTER LLC
Entity Type:Organization
Organization Name:HEALTHPLUS SURGERY CENTER LLC
Other - Org Name:INTEGRATED SPECIALTY ASC, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-549-9998
Mailing Address - Street 1:190 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-6408
Mailing Address - Country:US
Mailing Address - Phone:201-549-9998
Mailing Address - Fax:465-854-2516
Practice Address - Street 1:190 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-6408
Practice Address - Country:US
Practice Address - Phone:862-247-8080
Practice Address - Fax:201-692-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical