# BLOOMFIELD SURGI-CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Ambulatory Center of Excellence in Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013921964
- **Authorized official:** MR. HENRY KILROY RN (ADMINISTRATOR)
- **Authorized official phone:** (973) 842-2150

## Contact information

- **Practice address:** 1255 BROAD STREET, SUITE 200, BLOOMFIELD, NJ 07003-3061
- **Practice address phone:** (973) 842-2150
- **Practice address fax:** (973) 338-3545
- **Mailing address:** 1255 BROAD STREET, SUITE 200, BLOOMFIELD, NJ 07003-3061
- **Mailing address phone:** (973) 842-2150
- **Mailing address fax:** (973) 338-3545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 23459 | NJ | Yes |
| 261QP3300X | Pain Clinic/Center | 23459 | NULL | — |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/11/2025