Premier Surgical Pavilion, Llc

LBN: Premier Surgical Pavilion, Llc
Premier Surgical Pavilion, Llc is an health care organization with primary practice located at 145 Roseville Ave , Newark NJ 07107-1618. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Premier Surgical Pavilion, Llc can be contacted via phone (201) 488-2101, or through Jones, Michael Eugene via phone (212) 223-0716.

Contact Information

Primary practice address
145 Roseville Ave Newark NJ 07107-1618
Phone: (201) 488-2101
Fax: (201) 488-3929
Website:
Map and Directions
Authorized official contact:
Name: Jones, Michael Eugene Doctor of Medicine (MD)
Phone: (212) 223-0716

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 70781 New Jersey

Profile Details

NPI number 1538466453
LBN Legal business name Premier Surgical Pavilion, Llc
DBA Doing business as
Authorized official Jones, Michael Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2011
Last updated May 11th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538466453 NPPES
New Jersey Other 31C0001004 CCN

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