Healthcare Provider Details

I. General information

NPI: 1881408664
Provider Name (Legal Business Name): HAMBURG SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 BENNINGTON TER
PARAMUS NJ
07652-1335
US

IV. Provider business mailing address

211 BENNINGTON TER
PARAMUS NJ
07652-1335
US

V. Phone/Fax

Practice location:
  • Phone: 201-336-0188
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. REHAN ALI
Title or Position: DIRECTOR
Credential:
Phone: 973-779-7361