ENDOSURGICAL MD PA
NPI 1417089335
General Practice in Passaic, NJ

Q: What is Endosurgical MD PA's NPI number?

The NPI number for Endosurgical MD PA is 1417089335. It was assigned to this organization in the NPPES registry on March 9, 2007.

Q: What is Endosurgical MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 09, 2007

335 PASSAIC ST, PASSAIC, NJ 07055(973) 779-5554 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Endosurgical Md Pa NPPES

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

ENDOSURGICAL MD PA (NPI 1417089335) is a healthcare organization registered as a general practice in Passaic, New Jersey and active in the NPI registry since March 2007. The organization lists Juan De La Cruz, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417089335

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameENDOSURGICAL MD PA

Location Address335 PASSAIC STPassaic, NJ 07055-5818

Mailing Address48 Virvickas StreetWoodland Park, NJ 07424-0000 · (973) 779-5554

Phone(973) 779-5554

Organization SubpartNo

Authorized OfficialJuan De La CruzMedical Director · (973) 779-5554

Enumeration DateMarch 9, 2007

Last NPPES UpdateFebruary 4, 2011

✔ NPI 1417089335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NJ · 25MA45725

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 25MA45725 (NJ)

335 PASSAIC ST, Passaic, NJ 07055

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Other Identifiers 2

Medicaid4011902NJ

Medicare ID-Type Unspecified585760NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

HISPANIC RESPIRATORY SERVICES INC

Respiratory Therapist, Certified (General Care)