Provider Demographics
NPI:1588376073
Name:CITY SURGICAL CARE OF NJ PC
Entity type:Organization
Organization Name:CITY SURGICAL CARE OF NJ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:I
Authorized Official - Last Name:ROSENBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-469-1960
Mailing Address - Street 1:555 PASSAIC AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7440
Mailing Address - Country:US
Mailing Address - Phone:973-227-0680
Mailing Address - Fax:973-227-0736
Practice Address - Street 1:555 PASSAIC AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7440
Practice Address - Country:US
Practice Address - Phone:973-227-0680
Practice Address - Fax:973-227-0736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty