=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558596296
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW HORIZON SURGICAL CENTER, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/26/2009
-----------------------------------------------------
Last Update Date | 12/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 680 BROADWAY SUITE 201
-----------------------------------------------------
City | PATERSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07514-1422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-782-4202
-----------------------------------------------------
Fax | 973-782-4206
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 680 BROADWAY STE 201
-----------------------------------------------------
City | PATERSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07514-1527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-782-4202
-----------------------------------------------------
Fax | 973-782-4206
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | AMAURY ROMERO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 973-782-4202
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------