Provider Demographics
NPI:1255352712
Name:METROPOLITAN SURGERY CENTER, LLC
Entity type:Organization
Organization Name:METROPOLITAN SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAPHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGOBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-343-1717
Mailing Address - Street 1:433 HACKENSACK AVE
Mailing Address - Street 2:LL01
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-527-6800
Mailing Address - Fax:201-342-9383
Practice Address - Street 1:433 HACKENSACK AVE
Practice Address - Street 2:LL01
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-527-6800
Practice Address - Fax:201-342-9383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ23995261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical