Healthcare Provider Details

I. General information

NPI: 1750295259
Provider Name (Legal Business Name): REPRODUCTIVE SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 TERRACE AVE FL 2
HASBROUCK HEIGHTS NJ
07604-1815
US

IV. Provider business mailing address

214 TERRACE AVE FL 2
HASBROUCK HEIGHTS NJ
07604-1815
US

V. Phone/Fax

Practice location:
  • Phone: 201-288-6330
  • Fax:
Mailing address:
  • Phone: 201-288-6330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STEPHANIE ADESSO
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 201-288-6330