RENAISSANCE SURGERY CENTER – NPI #1962755561
Clinic/Center

RENAISSANCE SURGERY CENTER is an AHC clinic located in SADDLE BROOK, NJ. NPPES has assigned the NPI number 1962755561 to RENAISSANCE SURGERY CENTER on October 19, 2012. 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 12 years ago on Aug 13, 2014. 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 RENAISSANCE SURGERY CENTER below.

NPI Profile for
RENAISSANCE SURGERY CENTER

NPI Number
1962755561
Enumeration Date

(more than 13 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
RENAISSANCE SURGERY CENTER
Primary location
190 MIDLAND AVE
SADDLE BROOK, NJ 07663-6408
Phone: (862) 247-8080 Fax:
Mailing address
PO BOX 555
SADDLE BROOK, NJ 07663-0555
Phone: (862) 247-8080 Fax:
Organization Subpart
No
Authorized Official
NICKI CAPORINO
ADMINISTRATOR
Phone: (862) 247-8080
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 23116

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.