PRESTIGE SURGICAL CENTER (NPI# 1356645204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356645204 |
| Entity Type | Organization |
| Organization Name | PRESTIGE SURGICAL CENTER |
| Practice Address |
146 Route 17 North Lower Level Hackensack NJ 07601 |
| Mailing Address |
40 Se 5th St Suite 406 Boca Raton FL 33432-6003 |
| Practice Telephone | 2014413500 |
| Mailing Telephone | 5613687118 |
| Mailing Fax Number | 5613687116 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | DR. THOMAS MENDOLIA (MGRM) |
| Authorized Official Telephone | 3365752833 |
| Authorized Official Credential | D.O. |
| 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 |
146 ROUTE 17 NORTH LOWER LEVEL |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861543662 | David Joel Bikoff | Plastic Surgery | 146 Route 17 North, 3rd Floor, Hackensack, NJ 07601 | 2007-01-16 |
| 1407994197 | North Jersey Ambulatory Surgery Center, LLC | Clinic/Center | 146 Route 17 North, Lower Level, Hackensack, NJ 07601 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356510408 | Hackensack Surgery Center, LLC | Clinic/Center | 19 Kotte Pl., Hackensack, NJ 07601 | 2008-02-22 |
| 1225096142 | Essex Surgery Center, LLC | Clinic/Center | 321 Essex St, Hackensack, NJ 07601-2066 | 2006-05-02 |
| 1235192675 | Hackensack Endoscopy Center, LLC | Clinic/Center | 170 Propect Ave, Suite 10, Hackensack, NJ 07601-1820 | 2006-04-07 |
| 1285179564 | Dynamic Surgery Center LLC | Clinic/Center | 321 Essex St, Hackensack, NJ 07601-2066 | 2016-12-22 |
| 1770847717 | Endoscopy Center of Hackensack, LLC | Clinic/Center | 170 Prospect Ave, Suite 10, Hackensack, NJ 07601-1820 | 2012-06-25 |
| 1184900102 | Metropolitan New Jersey, LLC | Clinic/Center | 433 Hackensack Ave, Ll01, Hackensack, NJ 07601-6319 | 2011-10-24 |
| 1699055541 | Excel Surgery Center, LLC | Clinic/Center | 321 Essex St, Hackensack, NJ 07601-2066 | 2011-08-24 |
| 1407994197 | North Jersey Ambulatory Surgery Center, LLC | Clinic/Center | 146 Route 17 North, Lower Level, Hackensack, NJ 07601 | 2007-02-02 |
| 1255352712 | Metropolitan Surgery Center, LLC | Clinic/Center | 433 Hackensack Ave, Ll01, Hackensack, NJ 07601 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811599 | Freedom Surgical Center, LLC | Clinic/Center | 1455 Broad St Ste 100, Bloomfield, NJ 07003-3039 | 2020-11-02 |
| 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 | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.