Provider Demographics
NPI:1538229398
Name:A CENTER FOR ADVANCED SURGERY
Entity type:Organization
Organization Name:A CENTER FOR ADVANCED SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR OF ADMINISTRATIO
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-843-9390
Mailing Address - Street 1:3 WINSLOW PL
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2709
Mailing Address - Country:US
Mailing Address - Phone:201-843-9390
Mailing Address - Fax:
Practice Address - Street 1:3 WINSLOW PL
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2709
Practice Address - Country:US
Practice Address - Phone:201-843-9390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ308614Medicare ID - Type UnspecifiedMEDICARE NUMBER