| Surgicore Of Jersey City, Llc. | |
|
550 Newark Ave Fl 5 Jersey City NJ 07306-1326 | |
| (201) 795-0205 | |
| (201) 795-0737 |
| Full Name | Surgicore Of Jersey City, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 Newark Ave Fl 5, Jersey City, New Jersey |
| Authorized Official Name and Position | Anthony Degradi (OWNER) |
| Authorized Official Contact | 6314955262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgicore Of Jersey City, Llc. 550 Newark Ave. 5th Floor Jersey City NJ 07306 Ph: (201) 795-0205 | Surgicore Of Jersey City, Llc. 550 Newark Ave Fl 5 Jersey City NJ 07306-1326 Ph: (201) 795-0205 |
| NPI Number | 1184151425 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 05/17/2017 |
| Medicare PECOS PAC ID | 5092083154 |
|---|---|
| Medicare Enrollment ID | O20170613002091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184151425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 80193 (New Jersey) | Primary |
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