Provider Demographics
NPI:1760273098
Name:MERIDIAN SURGERY CENTER
Entity type:Organization
Organization Name:MERIDIAN SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, BA
Authorized Official - Phone:212-970-7011
Mailing Address - Street 1:5925 KISSENA BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5565
Mailing Address - Country:US
Mailing Address - Phone:212-970-7011
Mailing Address - Fax:212-658-9820
Practice Address - Street 1:5925 KISSENA BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5565
Practice Address - Country:US
Practice Address - Phone:212-970-7011
Practice Address - Fax:212-658-9820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical