Provider Demographics
NPI:1871510610
Name:NORTH JERSEY SURGERY CENTER
Entity Type:Organization
Organization Name:NORTH JERSEY SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HATULAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSBA, BSN, RN, CGRN
Authorized Official - Phone:201-816-1991
Mailing Address - Street 1:520 SYLVAN AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3022
Mailing Address - Country:US
Mailing Address - Phone:201-816-1991
Mailing Address - Fax:201-816-9001
Practice Address - Street 1:520 SYLVAN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-3022
Practice Address - Country:US
Practice Address - Phone:201-816-1991
Practice Address - Fax:201-816-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23278261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical