# DENVILLE SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgical Center of Northwest Jersey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861804585
- **Authorized official:** JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 3130 ROUTE 10 WEST, STE 200, DENVILLE, NJ 07834-3454
- **Practice address phone:** (973) 328-3475
- **Practice address fax:** (973) 328-3476
- **Mailing address:** 3130 ROUTE 10 WEST, STE 200, DENVILLE, NJ 07834-3454
- **Mailing address phone:** (973) 328-3475
- **Mailing address fax:** (973) 328-3476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 22964 | NJ | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 10/28/2024