Healthcare Provider Details

I. General information

NPI: 1649322496
Provider Name (Legal Business Name): SURGICARE SURGICAL ASSOCIATES OF ORADELL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 KINDERKAMACK RD
ORADELL NJ
07649-1517
US

IV. Provider business mailing address

680 KINDERKAMACK RD 3RD FLOOR SUITE 300
ORADELL NJ
07649-1600
US

V. Phone/Fax

Practice location:
  • Phone: 201-265-8173
  • Fax: 201-301-8892
Mailing address:
  • Phone: 201-265-8173
  • Fax: 201-301-8892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOHN H HAJJAR
Title or Position: CEO & CHAIRMAN
Credential: MD
Phone: 201-834-1100