# PERFORMANCE SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1639703895
- **Authorized official:** DR. MARVEL SCOTT MD (OWNER)
- **Authorized official phone:** (212) 203-1835

## Contact information

- **Practice address:** 1084 MAIN AVE FL 2, CLIFTON, NJ 07011-2330
- **Practice address phone:** (973) 473-4040
- **Practice address fax:** (516) 775-8618
- **Mailing address:** PO BOX 339, PARK RIDGE, NJ 07656-0339
- **Mailing address phone:** (201) 799-4010
- **Mailing address fax:** (201) 746-9104

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2020
- **Last updated:** 08/14/2025