WEST ORANGE SURGICAL CENTER, LLC (NPI# 1609390459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609390459 |
| Entity Type | Organization |
| Organization Name | WEST ORANGE SURGICAL CENTER, LLC |
| Other Organization Name | MOUNTAIN SURGERY CENTER |
| Practice Address |
375 Mount Pleasant Ave Ste 210 West Orange NJ 07052-2751 |
| Mailing Address |
652 Palm Springs Dr Altamonte Springs FL 32701-7838 |
| Practice Telephone | 9737363390 |
| Mailing Telephone | 4073329871 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | MR. WILLIAM JAMES TRICOLI (MANAGER) |
| Authorized Official Telephone | 4079473080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
24393 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mountain Surgery Center | Doing Business As Name - Organization |
| Street Address |
375 MOUNT PLEASANT AVE STE 210 |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069492 | Amnop LLC | Anesthesiology | 375 Mount Pleasant Ave Ste 210, West Orange, NJ 07052-2751 | 2019-05-21 |
| 1366913741 | Garden Transportation LLC | Non-emergency Medical Transport (VAN) | 375 Mount Pleasant Ave Ste 210, West Orange, NJ 07052-2751 | 2018-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831491117 | Mountain Surgery Center, LLC | Clinic/Center | 375 Mt. Pleasant Ave, Suite 210, West Orange, NJ 07052-2724 | 2010-11-19 |
| 1952328825 | American Surgical Center of West Orange LLC | Clinic/Center | 61 D Main St, West Orange, NJ 07052 | 2006-07-16 |
| 1699144915 | West Orange Asc LLC | Clinic/Center | 101 Old Short Hills Rd, West Orange, NJ 07052-1000 | 2015-09-16 |
| 1578805982 | Pleasantdale Ambulatory Care, LLC | Clinic/Center | 61 Main St, West Orange, NJ 07052-5352 | 2013-03-24 |
| 1679728901 | Essex Specialized Surgical Institute LLC | Clinic/Center | 475 Prospect Ave, West Orange, NJ 07052-4197 | 2008-12-01 |
| 1609046168 | West Orange Nj Endoscopy Asc LLC | Clinic/Center | 741 Northfield Ave, Suite 102, West Orange, NJ 07052-1174 | 2008-03-11 |
| 1063531911 | Nj Vein & Cosmetic Surgery Center, Pa | Clinic/Center | 741 Northfield Ave, Suite 105, West Orange, NJ 07052-1174 | 2007-03-29 |
| 1578679320 | Essex Surgical LLC | Clinic/Center | 776 Northfield Ave, West Orange, NJ 07052-1102 | 2006-08-22 |
| 1992713010 | Northfield Surgical Center LLC | Clinic/Center | 741 Northfield Ave, Suite 102, West Orange, NJ 07052-1174 | 2006-08-04 |
| 1407854656 | Saint Barnabas Outpatient Centers | Clinic/Center | 101 Old Short Hills Rd, Suite 205, West Orange, NJ 07052-1000 | 2005-07-12 |
| Find all providers in WEST ORANGE | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
Please comment or provide details below to improve the information on WEST ORANGE SURGICAL CENTER, LLC.
| 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.