# RENAISSANCE SURGERY CENTER

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

## Provider details

- **NPI number:** 1962755561
- **Authorized official:** MRS. NICKI CAPORINO RN (ADMINISTRATOR)
- **Authorized official phone:** (862) 247-8080

## Contact information

- **Practice address:** 190 MIDLAND AVE, SADDLE BROOK, NJ 07663-6408
- **Practice address phone:** (862) 247-8080
- **Mailing address:** PO BOX 555, SADDLE BROOK, NJ 07663-0555
- **Mailing address phone:** (862) 247-8080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 23116 | NJ | Yes |

## Other

- **Enumeration date:** 10/19/2012
- **Last updated:** 08/13/2014