Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Surgical Specialist of New Jersey New York PC

Organization Surgery Physician · NPI 1629538962

Surgical Specialist of New Jersey New York PC provides Surgery Physician services 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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