GARDEN STATE SURGICAL CENTER, LLC – NPI #1891882031
Clinic/Center

GARDEN STATE SURGICAL CENTER, LLC is an AHC clinic located in FAIR LAWN, NJ. NPPES has assigned the NPI number 1891882031 to GARDEN STATE SURGICAL CENTER, LLC on October 09, 2006. 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 last updated on Jan 10, 2025. 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 GARDEN STATE SURGICAL CENTER, LLC below.

NPI Profile for
GARDEN STATE SURGICAL CENTER, LLC

NPI Number
1891882031
Enumeration Date

(more than 19 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
GARDEN STATE SURGICAL CENTER, LLC
Primary location
28-06 BROADWAY
FAIR LAWN, NJ 07410-3913
Phone: (201) 475-8940 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENNETH LEVITSKY
MANAGING PARTNER
Phone: (201) 475-8940
Updated
Certification Date
Jan 10, 2025

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.