Provider Demographics
NPI:1982680492
Name:ROCKLAND SURGICAL PROJECT, LLC
Entity Type:Organization
Organization Name:ROCKLAND SURGICAL PROJECT, LLC
Other - Org Name:RAMAPO VALLEY SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-995-9975
Mailing Address - Street 1:500 N FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1177
Mailing Address - Country:US
Mailing Address - Phone:201-995-9975
Mailing Address - Fax:201-995-9977
Practice Address - Street 1:500 N FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1177
Practice Address - Country:US
Practice Address - Phone:201-995-9975
Practice Address - Fax:201-995-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical