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Ambulatory Surgical Center of Pompton Lakes, LLC

Ambulatory Surgical Clinic/Center in Pompton Lakes, NJ · enumerated 2019 · authorized official Denise Pallis, Dir of Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063077402

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Registry record

Entity type Organization (Type 2)
Legal business name Ambulatory Surgical Center of Pompton Lakes, LLC
Practice address 111 Wanaque Ave, Pompton Lakes, NJ, 07442
Phone (973) 225-0732
Fax (973) 968-6660
Enumeration date May 1, 2019
Last updated in NPPES Aug 10, 2021

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Denise Pallis
Title Dir of Credentialing
Phone (201) 874-9084

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ambulatory Surgical Center of Pompton Lakes, LLC?
The NPI for Ambulatory Surgical Center of Pompton Lakes, LLC is 1063077402, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ambulatory Surgical Center of Pompton Lakes, LLC?
NPPES lists Denise Pallis (Dir of Credentialing) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-10.