MEDICARE: ROCKLAND SURGICAL PROJECT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1982680492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKLAND SURGICAL PROJECT, LLC

Provider Business Mailing Address
First Line	:	500 N FRANKLIN TPKE
Second Line	:
City	:	RAMSEY
State	:	NJ
Zip	:	07446-1177
Country	:	US
Telephone Number	:	201-995-9975
Fax Number	:	201-995-9977

Provider Business Practice Location Address
First Line	:	500 N FRANKLIN TPKE
Second Line	:
City	:	RAMSEY
State	:	NJ
Zip	:	07446-1177
Country	:	US
Telephone Number	:	201-995-9975
Fax Number	:	201-603-6997

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. TODD STEWART
Credential	:
Telephone Number	:	201-995-9975

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	10/30/2025

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