# JERSEY SURGICAL WEIGHT CONTROL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154930220
- **Authorized official:** LILIYA PROKURAT (MANAGER OF OPERATIONS)
- **Authorized official phone:** (800) 920-9928

## Contact information

- **Practice address:** 222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
- **Practice address phone:** (800) 920-9928
- **Practice address fax:** (800) 615-9936
- **Mailing address:** 222 SCHANCK RD STE 200, FREEHOLD, NJ 07728-2974
- **Mailing address phone:** (800) 920-9928
- **Mailing address fax:** (800) 615-9936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2020
- **Last updated:** 06/03/2025