# OLD HOOK MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLD HOOK MEDICAL ASSOCIATES LLC
- **Other names:** OLD HOOK MEDICAL ASSOCIATES SURGICENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720014830
- **Legal business name:** OLD HOOK MEDICAL ASSOCIATES LLC
- **Authorized official:** MR. JAIME LIJO CCS-P (BILLING/CREDENTIALING)
- **Authorized official phone:** (201) 666-3900

## Contact information

- **Practice address:** 452 OLD HOOK RD, EMERSON, NJ 07630-1381
- **Practice address phone:** (201) 666-3900
- **Practice address fax:** (201) 261-0505
- **Mailing address:** 452 OLD HOOK RD, EMERSON, NJ 07630-1381
- **Mailing address phone:** (201) 666-3900
- **Mailing address fax:** (201) 261-0505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1092980 | NJ | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 05/31/2016