# SUBURBAN ENDOSCOPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suburban Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235178146
- **Authorized official:** JONATHAN BAILEY (MEDICARE AUTHORIZED OFFICIAL)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 799 BLOOMFIELD AVE, STE 101, VERONA, NJ 07044-1301
- **Practice address phone:** (973) 571-1600
- **Practice address fax:** (973) 571-1882
- **Mailing address:** 799 BLOOMFIELD AVE, STE 101, VERONA, NJ 07044-1301
- **Mailing address phone:** (973) 571-1600
- **Mailing address fax:** (973) 571-1882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 22335 | NJ | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 01/14/2025