# ENDOSCOPY CENTER OF HACKENSACK, LLC

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

## Provider details

- **NPI number:** 1770847717
- **Authorized official:** JONATHAN BAILEY (AUTHORIZED SIGNER/OFFICER)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 170 PROSPECT AVE, SUITE 10, HACKENSACK, NJ 07601-1820
- **Practice address phone:** (201) 489-0030
- **Practice address fax:** (201) 708-6300
- **Mailing address:** 14201 DALLAS PKWY STE 1600, DALLAS, TX 75254-2916

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2012
- **Last updated:** 01/16/2025