=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750295259
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REPRODUCTIVE SURGERY CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2026
-----------------------------------------------------
Last Update Date | 09/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 214 TERRACE AVE FL 2
-----------------------------------------------------
City | HASBROUCK HEIGHTS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07604-1815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-288-6330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 214 TERRACE AVE FL 2
-----------------------------------------------------
City | HASBROUCK HEIGHTS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07604-1815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-288-6330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF NURSING
-----------------------------------------------------
Name | STEPHANIE ADESSO
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 201-288-6330
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QA1903X
-----------------------------------------------------
Taxonomy Name | Ambulatory Surgical Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------