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NPI Code Detail

MEDICARE: HUDSON SURGERY CENTER, LLC

MEDICARE: HUDSON SURGERY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1801723614
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUDSON SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 90 MATAWAN RD STE 302
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-2653
Country : US
Telephone Number : 732-441-7177
Fax Number :
Provider Business Practice Location Address
First Line : 3540 KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07307-3450
Country : US
Telephone Number : 732-812-0281
Fax Number :
Authorized Official
Title or Position : CEO
Name : WILLIAM VANDERVEER
Credential :
Telephone Number : 732-812-0281
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “HUDSON SURGERY CENTER, LLC ” Practice Location

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