VANGUARD SURGICAL CENTER, LLC. (NPI# 1023350907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023350907 |
| Entity Type | Organization |
| Organization Name | VANGUARD SURGICAL CENTER, LLC. |
| Practice Address |
113 Essex St Maywood NJ 07607-1020 |
| Practice Telephone | 2012517725 |
| Mailing Telephone | 2012517725 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-08-20 |
| Authorized Official Name | DR. DANTE A IMPLICITO (MANAGING MEMBER) |
| Authorized Official Telephone | 2012517725 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
113 ESSEX ST |
| City | MAYWOOD |
| State | NJ |
| Zip Code | 07607-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891746145 | Michael David Seidner | Obstetrics & Gynecology | 113 Essex St, Suite 202, Maywood, NJ 07607-1023 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
| 1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
| 1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
| 1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
| 1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
| 1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
| 1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
| 1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
| 1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| Find all providers in zip 07607 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841858024 | Vanguard Asc, LLC | Clinic/Center | 113 W Essex St, Maywood, NJ 07607-1023 | 2019-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1477153237 | Jersey Ambulatory & Surgical Partners LLC | Clinic/Center | 1167 Mcbride Ave Ste 4, Woodland Park, NJ 07424-2543 | 2020-10-29 |
| 1144834987 | Center for Special Surgery of Lyndhurst LLC | Clinic/Center | 70 Ridge Rd Fl 2, Lyndhurst, NJ 07071-1216 | 2020-08-31 |
| 1164031118 | Progressive Surgical Center LLC | Clinic/Center | 630 E Palisade Ave Ste 2-100, Englewood, NJ 07632-1842 | 2020-07-27 |
| 1063031862 | Ganchi Plastic Surgery Center LLC | Clinic/Center | 246 Hamburg Tpke Ste 307, Wayne, NJ 07470-2161 | 2020-04-11 |
| 1023642154 | Nova Surgery Center LLC | Clinic/Center | 107 Monmouth Rd Ste 103, West Long Branch, NJ 07764-1021 | 2020-02-27 |
| 1780217034 | Modern Medicine Surgical Center, LLC | Clinic/Center | 633 From Rd, Paramus, NJ 07652-3514 | 2020-02-14 |
| 1629612437 | Asc of New Jersey LLC | Clinic/Center | 5 Progress St Ste 2, Edison, NJ 08820-1102 | 2019-11-05 |
| 1942841143 | Global Surgery Center LLC | Clinic/Center | 680 Kinderkamack Rd Ste 100, Oradell, NJ 07649-1600 | 2019-09-30 |
| 1710440045 | Access Care Physicians of Nj LLC | Clinic/Center | 2401 Morris Ave Ste W-112, Union, NJ 07083-5745 | 2019-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.