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

Q: What is Renaissance Surgery Center, LLC's NPI number?

The NPI number for Renaissance Surgery Center, LLC is 1174884530. It was assigned to this organization in the NPPES registry on June 1, 2012. The provider is doing business as International Center For Minimally Invasive Spine Surgery, LLC.

Q: What is Renaissance Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 01, 2012

461 GOFFLE RD, WYCKOFF, NJ 07481(201) 857-0720(201) 857-0948 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About International Center For Minimally Invasive Spine Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERNATIONAL CENTER FOR MINIMALLY INVASIVE SPINE SURGERY, LLC (NPI 1174884530) is a healthcare organization registered as an ambulatory surgical in Wyckoff, New Jersey and active in the NPI registry since June 2012. The organization lists Louis G Quartararo, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1174884530

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRENAISSANCE SURGERY CENTER, LLC

Location Address461 GOFFLE RDWyckoff, NJ 07481-3003

Mailing Address461 Goffle RdWyckoff, NJ 07481-3003 · (201) 857-0720 · Fax (201) 857-0948

Phone(201) 857-0720

Fax(201) 857-0948

Organization SubpartNo

Authorized OfficialLouis G QuartararoManaging Partner · (201) 857-0720

Enumeration DateJune 1, 2012

Last NPPES UpdateFebruary 15, 2017

✔ NPI 1174884530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

461 GOFFLE RD, Wyckoff, NJ 07481

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Other Names 1

Doing Business AsInternational Center For Minimally Invasive Spine Surgery, Llc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAIN & SURGERY AMBULATORY CENTER

Clinic/Center (Pain)

461 GOFFLE RD
WYCKOFF, NJ 07481

Bergen County (201) 689-6262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renaissance Surgery Center, LLC's NPI number?

The NPI number for Renaissance Surgery Center, LLC is 1174884530. It was assigned to this organization in the NPPES registry on June 1, 2012. The provider is doing business as International Center For Minimally Invasive Spine Surgery, LLC.

Where is Renaissance Surgery Center, LLC located?

Renaissance Surgery Center, LLC is located at 461 Goffle Rd, Wyckoff, NJ 07481. The listed phone number is (201) 857-0720.

What is Renaissance Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Renaissance Surgery Center, LLC was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.