JACKSON SURGICAL CENTER LLC – NPI #1275930216
Clinic/Center

JACKSON SURGICAL CENTER LLC is an AHC clinic located in JACKSON, NJ. NPPES has assigned the NPI number 1275930216 to JACKSON SURGICAL CENTER LLC on November 19, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on Sep 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON SURGICAL CENTER LLC below.

NPI Profile for
JACKSON SURGICAL CENTER LLC

NPI Number
1275930216
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON SURGICAL CENTER LLC
Primary location
27 S COOKS BRIDGE RD
SUITE L2
JACKSON, NJ 08527-2524
Phone: (972) 763-3893 Fax: (972) 692-6745
Mailing address
27 S COOKS BRIDGE RD STE L2
JACKSON, NJ 08527-2524
Phone: (732) 928-1099 Fax: (732) 833-1690
Organization Subpart
No
Authorized Official
TERESA DANNA
OFFICER / AUTHORIZED OFFICIAL
Phone: (972) 763-3890
Updated
Certification Date
Sep 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.