Provider Demographics
NPI:1538475819
Name:SAME DAY SURGERY CENTER OF NEW JERSEY
Entity type:Organization
Organization Name:SAME DAY SURGERY CENTER OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ELIAS
Authorized Official - Last Name:LIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-797-5724
Mailing Address - Street 1:23-00 ROUTE 208
Mailing Address - Street 2:SUITE 1-1
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1559
Mailing Address - Country:US
Mailing Address - Phone:201-797-5724
Mailing Address - Fax:201-797-1660
Practice Address - Street 1:23-00 ROUTE 208
Practice Address - Street 2:SUITE 1-1
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1559
Practice Address - Country:US
Practice Address - Phone:201-797-5724
Practice Address - Fax:201-797-1660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical