Healthcare Provider Details

I. General information

NPI: 1114139060
Provider Name (Legal Business Name): AP SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1692 OAK TREE RD
EDISON NJ
08820-2853
US

IV. Provider business mailing address

1692 OAK TREE RD SUITE 10
EDISON NJ
08820-2853
US

V. Phone/Fax

Practice location:
  • Phone: 732-635-9729
  • Fax: 732-906-7801
Mailing address:
  • Phone: 732-343-6545
  • Fax: 732-906-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number23182
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. HARSHAD PATEL
Title or Position: CEO
Credential: PHD
Phone: 732-319-3055