| Prism Surgery Center At Union | |
|
855 Lehigh Ave Ste 203 Union NJ 07083-7631 | |
| (201) 216-1700 | |
| Not Available |
| Full Name | Prism Surgery Center At Union |
|---|---|
| Speciality | Clinic/Center |
| Location | 855 Lehigh Ave Ste 203, Union, New Jersey |
| Authorized Official Name and Position | Lauren A Magnifico (VP, ASC OPERATIONS) |
| Authorized Official Contact | 2012161700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Surgery Center At Union 420 Mountain Ave Fl 4 New Providence NJ 07974-2736 Ph: () - | Prism Surgery Center At Union 855 Lehigh Ave Ste 203 Union NJ 07083-7631 Ph: (201) 216-1700 |
| NPI Number | 1396844429 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 5092965616 |
|---|---|
| Medicare Enrollment ID | O20121017000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396844429 | NPI | - | NPPES |
| 52773021 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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