INTERNATIONAL CENTER FOR MINIMALLY INVASIVE SPINE SURGERY, LLC
NPI 1174884530
Clinic/Center - Ambulatory Surgical in Wyckoff, NJ

NPI Status: Active since June 01, 2012

Contact Information

461 GOFFLE RD
WYCKOFF, NJ
ZIP 07481
Phone: (201) 857-0720
Fax: (201) 857-0948

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About INTERNATIONAL CENTER FOR MINIMALLY INVASIVE SPINE SURGERY, LLC

This page provides the complete NPI Profile along with additional information for International Center For Minimally Invasive Spine Surgery, Llc, a provider established in Wyckoff, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1174884530 assigned on June 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as International Center For Minimally Invasive Spine Surgery, Llc. The authorized official of this NPI record is Mr. Louis G Quartararo Md (Managing Partner)

NPI
1174884530
Provider Legal Name
RENAISSANCE SURGERY CENTER, LLC
Other Organization Name
INTERNATIONAL CENTER FOR MINIMALLY INVASIVE SPINE SURGERY, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
461 GOFFLE RD WYCKOFF, NJ 07481
Location Phone
(201) 857-0720
Location Fax
(201) 857-0948
Mailing Address
461 GOFFLE RD WYCKOFF, NJ 07481
Mailing Phone
(201) 857-0720
Mailing Fax
(201) 857-0948
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2012
Last Update Date
02-15-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LOUIS G QUARTARARO MD

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(201) 857-0720

Reviews for INTERNATIONAL CENTER FOR MINIMALLY INVASIVE SPINE SURGERY, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174884530
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144168856
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 8 + 8 + 5 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1174884530 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700366531 ANDREW T GANLEY
Individual
Student in an Organized Health Care Education/Training Program461 GOFFLE RD
WYCKOFF, NJ 07481
(201) 857-0720
1407977820PAIN & SURGERY AMBULATORY CENTER
Organization
Clinic/Center (Pain)461 GOFFLE RD
WYCKOFF, NJ 07481
(201) 689-6262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174884530, enumerated in the NPI registry as an "organization" on June 01, 2012

The provider is located at 461 Goffle Rd Wyckoff, Nj 07481 and the phone number is (201) 857-0720

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

This NPI record was last updated on June 01, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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