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

Endosurgical MD PA

Organization Surgery Physician · NPI 1417089335

Endosurgical MD PA is a Surgery Physician in Passaic, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

335 Passaic St
Passaic, NJ 07055-5818
Phone: (973) 779-5554
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 25MA45725 (NJ)
Surgery Physician Taxonomy 208600000X · Licence 25MA45725 (NJ)

Record details

NPI number1417089335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan De La Cruz — Medical Director · (973) 779-5554
NPI enumeratedMarch 9, 2007
Last updated in NPPESFebruary 4, 2011
Mailing address48 Virvickas Street, Woodland Park, NJ 07424-0000

Other providers in Passaic