Healthcare Provider Details

I. General information

NPI: 1265165070
Provider Name (Legal Business Name): BERGEN COUNTY SURGERY CENTER LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 N RTE 17 STE 105
PARAMUS NJ
07652-2815
US

IV. Provider business mailing address

140 N RTE 17 STE 105
PARAMUS NJ
07652-2815
US

V. Phone/Fax

Practice location:
  • Phone: 201-345-0100
  • Fax: 201-820-0333
Mailing address:
  • Phone: 201-345-0100
  • 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: NEBIL AYDIN
Title or Position: MEMBER/PRESIDENT
Credential: MD
Phone: 917-209-5400