Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambulatory Surgical Center of Pompton Lakes, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1063077402

Ambulatory Surgical Center of Pompton Lakes, LLC is an Ambulatory Surgical Clinic/Center in Pompton Lakes, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

111 Wanaque Ave
Pompton Lakes, NJ 07442-2101
Phone: (973) 225-0732
Fax: (973) 968-6660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1063077402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Pallis — Dir Of Credentialing · (201) 874-9084
NPI enumeratedMay 1, 2019
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address111 Wanaque Ave, Pompton Lakes, NJ 07442-2101

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