OrganizationActive
Renaissance Surgery Center, LLC
NPI 1174884530 · Ambulatory Surgical Clinic/Center · Wyckoff, NJ
Provider details
- NPI number
- 1174884530
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Louis Quartararo, Managing Partner(201) 857-0720
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
461 Goffle Rd
Wyckoff, NJ 07481-3003
Phone: (201) 857-0720
Fax: (201) 857-0948
Approximate (ZIP-level) locationGet directions
Mailing address
461 Goffle Rd
Wyckoff, NJ 07481-3003
Other names (DBA / former)
- Doing business as
- International Center for Minimally Invasive Spine Surgery, LLC
Registry dates
- Enumerated
- 2012-06-01
- Last updated
- 2017-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.