MOUNTAIN SURGERY CENTER – NPI #1609390459
Clinic/Center

MOUNTAIN SURGERY CENTER is an AHC clinic located in WEST ORANGE, NJ. NPPES has assigned the NPI number 1609390459 to MOUNTAIN SURGERY CENTER on August 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOUNTAIN SURGERY CENTER” is a dba name, the actual legal business name for this organization is WEST ORANGE SURGICAL CENTER, LLC. 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 MOUNTAIN SURGERY CENTER below.

NPI Profile for
WEST ORANGE SURGICAL CENTER, LLC

NPI Number
1609390459
Enumeration Date

(about 9 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
WEST ORANGE SURGICAL CENTER, LLC
Doing Business As (dba): MOUNTAIN SURGERY CENTER
Primary location
375 MOUNT PLEASANT AVE STE 210
WEST ORANGE, NJ 07052-2751
Phone: (973) 736-3390 Fax:
Mailing address
652 PALM SPRINGS DR
ALTAMONTE SPRINGS, FL 32701-7838
Phone: (407) 332-9871 Fax:
Organization Subpart
No
Authorized Official
WILLIAM TRICOLI
MANAGER
Phone: (407) 947-3080
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)		 NJ 24393

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.