Healthcare Provider Details

I. General information

NPI: 1013513159
Provider Name (Legal Business Name): ROBOTIC SURGICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 WILLOW AVE RM 111
HOBOKEN NJ
07030-3808
US

IV. Provider business mailing address

135 PINELAWN RD STE 115
MELVILLE NY
11747-3198
US

V. Phone/Fax

Practice location:
  • Phone: 516-584-8710
  • Fax: 516-584-8711
Mailing address:
  • Phone: 516-584-8710
  • Fax: 516-584-8711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JUDY LAWRENCE
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 516-584-8710