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

Surgical Specialist of New Jersey New York PC

Organization Surgery Physician · NPI 1629538962

Surgical Specialist of New Jersey New York PC is a Surgery Physician in Englewood, New Jersey. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

54 S Dean St
Englewood, NJ 07631-3514
Phone: (718) 626-0707
Fax: (718) 545-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1629538962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Legg — Credentialing Coordinator · (347) 584-8903
NPI enumeratedMarch 22, 2019
Last updated in NPPESMarch 22, 2019
Mailing address54 S Dean St, Englewood, NJ 07631-3514

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