ESSEX ENDOSCOPY CENTER LLC NPI 1891701611

NPI Information

NPI: 1891701611
Provider Name: ESSEX ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 31D1000463

Address:
275 CHESTNUT ST
NEWARK, NJ
ZIP 07105
Phone: (973) 589-5545
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ESSEX ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Newark, NJ. ESSEX ENDOSCOPY CENTER LLC NPI is 1891701611. The provider is registered as an organization entity type.

The provider's business location address is:

275 CHESTNUT ST
NEWARK, NJ
ZIP 07105-570
Phone: (973) 589-5545
Fax: (973) 589-0073

The provider's authorized official is Jeffrey E. Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 31D1000463 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 9/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	22810	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9035303	MEDICAID	NEW JERSEY
2	0252468	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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