Saint Mary'S Ambulatory Surgery

LBN: Saint Mary'S Ambulatory Surgery
Saint Mary'S Ambulatory Surgery is an health care organization with primary practice located at 540 Bergen Blvd , Palisades Park NJ 07650. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Saint Mary'S Ambulatory Surgery can be contacted via phone (201) 585-2911, or through Kim, Daniel via phone (201) 585-2911.

Contact Information

Primary practice address
540 Bergen Blvd Palisades Park NJ 07650
Fax: (201) 585-2977
Website:
Authorized official contact:
Name: Kim, Daniel Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1922075969
LBN Legal business name Saint Mary'S Ambulatory Surgery
DBA Doing business as
Authorized official Kim, Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 24th, 2011 - about 13 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 1922075969 NPPES
New Jersey Other 311186 HORIZON BCBS
New Jersey Other 2628993 HORIZON BCBS
New Jersey MEDICAID 0084361 HORIZON BCBS
New Jersey Other A3608737 HORIZON BCBS

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