PRESTIGE SURGICAL CENTER – NPI #1356645204
Clinic/Center

PRESTIGE SURGICAL CENTER is an AHC clinic located in HACKENSACK, NJ. NPPES has assigned the NPI number 1356645204 to PRESTIGE SURGICAL CENTER on January 07, 2011. 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

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 PRESTIGE SURGICAL CENTER below.

NPI Profile for
PRESTIGE SURGICAL CENTER

NPI Number
1356645204
Enumeration Date

(more than 15 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
PRESTIGE SURGICAL CENTER
Primary location
146 ROUTE 17 NORTH
LOWER LEVEL
HACKENSACK, NJ 07601
Phone: (201) 441-3500 Fax:
Mailing address
40 SE 5TH ST
SUITE 406
BOCA RATON, FL 33432-6003
Phone: (561) 368-7118 Fax: (561) 368-7116
Organization Subpart
No
Authorized Official
THOMAS MENDOLIA
MGRM
Phone: (336) 575-2833
Updated
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.