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

Pascack Valley Surgical Association PA

Organization Specialist · NPI 1215085949

Pascack Valley Surgical Association PA provides Specialist services in Englewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

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

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Practice location Address checks out

140 Grand Ave
Englewood, NJ 07631-6581
Phone: (201) 227-7411
Fax: (201) 227-7433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MB57235 (NJ)

Record details

NPI number1215085949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Holup — Surgeon · (201) 227-7411
NPI enumeratedJanuary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 729, Franklin Lakes, NJ 07417-0729

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