Healthcare Provider Details

I. General information

NPI: 1801723614
Provider Name (Legal Business Name): HUDSON SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 KENNEDY BLVD
JERSEY CITY NJ
07307-3450
US

IV. Provider business mailing address

90 MATAWAN RD STE 302
MATAWAN NJ
07747-2653
US

V. Phone/Fax

Practice location:
  • Phone: 732-812-0281
  • Fax:
Mailing address:
  • Phone: 732-441-7177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM VANDERVEER
Title or Position: CEO
Credential:
Phone: 732-812-0281