AMBULATORY SURGICAL PAVILION OF NEW JERSEY – NPI #1639597008
Clinic/Center

AMBULATORY SURGICAL PAVILION OF NEW JERSEY is an AHC clinic located in HAMMONTON, NJ. NPPES has assigned the NPI number 1639597008 to AMBULATORY SURGICAL PAVILION OF NEW JERSEY on April 02, 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 Aug 10, 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 AMBULATORY SURGICAL PAVILION OF NEW JERSEY below.

NPI Profile for
AMBULATORY SURGICAL PAVILION OF NEW JERSEY

NPI Number
1639597008
Enumeration Date

(more than 12 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
AMBULATORY SURGICAL PAVILION OF NEW JERSEY
Primary location
600 S WHITE HORSE PIKE
HAMMONTON, NJ 08037-2014
Phone: (347) 683-3008 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAM RAHAT
DIRECTOR
Phone: (347) 683-3008
Updated
Certification Date
Aug 10, 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.