Healthcare Provider Details

I. General information

NPI: 1487543120
Provider Name (Legal Business Name): UNITED SURGICAL SOLUTIONS OF WAYNE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 HAMBURG TPKE STE 104
WAYNE NJ
07470-2159
US

IV. Provider business mailing address

246 HAMBURG TPKE STE 104
WAYNE NJ
07470-2159
US

V. Phone/Fax

Practice location:
  • Phone: 973-790-1025
  • Fax:
Mailing address:
  • Phone: 516-502-8400
  • 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: MS. DORIN S LANFRANC
Title or Position: ADMINISTRATOR
Credential: OPA-C
Phone: 516-502-8400