What is Endosurgical MD PA's NPI number?

Endosurgical MD PA's National Provider Identifier (NPI) is 1417089335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Endosurgical MD PA?

Endosurgical MD PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Endosurgical MD PA located?

Endosurgical MD PA's practice location on file with NPPES is 335 Passaic St, Passaic, NJ 07055-5818.

What is Endosurgical MD PA's phone number?

The practice phone number listed in the NPPES registry for Endosurgical MD PA is (973) 779-5554.

Who is the authorized official for Endosurgical MD PA?

The authorized official listed on Endosurgical MD PA's NPPES record is Juan De La Cruz, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Endosurgical MD PA's NPI active?

Yes — Endosurgical MD PA's NPI (1417089335) is active in the NPPES registry as of the last update on 2011-02-04.

OrganizationActive

Endosurgical MD PA

NPI 1417089335 · General Practice Physician · Passaic, NJ

Endosurgical MD PA is a General Practice Physician organization in Passaic, NJ (NPI 1417089335).

Provider details

NPI number: 1417089335
Entity type: Organization
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Juan De La Cruz, Medical Director(973) 779-5554
License: 25MA45725 (NJ)

Practice location

335 Passaic St

Passaic, NJ 07055-5818

Phone: (973) 779-5554

Street-level locationGet directions

More NJ providers

Mailing address

48 Virvickas Street

Woodland Park, NJ 07424-0000

Specialties & taxonomies

General Practice PhysicianPrimary208D00000XLicense 25MA45725 (NJ)
Allopathic & Osteopathic Physicians
Surgery Physician208600000XLicense 25MA45725 (NJ)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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.

Enumerated: 2007-03-09
Last updated: 2011-02-04

Frequently asked questions

What is Endosurgical MD PA's NPI number?: Endosurgical MD PA's National Provider Identifier (NPI) is 1417089335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Endosurgical MD PA?: Endosurgical MD PA is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
Where is Endosurgical MD PA located?: Endosurgical MD PA's practice location on file with NPPES is 335 Passaic St, Passaic, NJ 07055-5818.
What is Endosurgical MD PA's phone number?: The practice phone number listed in the NPPES registry for Endosurgical MD PA is (973) 779-5554.
Who is the authorized official for Endosurgical MD PA?: The authorized official listed on Endosurgical MD PA's NPPES record is Juan De La Cruz, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Endosurgical MD PA's NPI active?: Yes — Endosurgical MD PA's NPI (1417089335) is active in the NPPES registry as of the last update on 2011-02-04.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions