Specialty Surgical Center LLC
A Medicare group practice based in Sparta, NJ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0941384655), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0941384655
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NJ
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20080219000742 | NJ | Part B Supplier - Ambulatory Surgical Center | 1932241148 |
| O20110222000734 | NJ | Part B Supplier - Clinic/Group Practice | 1821398199 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Specialty Surgical Center LLC
- Clinic/Center
- Sparta, NJ
- NPI 1932241148
-
Specialty Surgical Center, LLC
dba Specialty Surgical Center Anesthesia
- Anesthesiology Physician
- Sparta, NJ
- NPI 1821398199
Practice locations
- Sparta, NJ2
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (4).
-
Talitha Mariana Hedley Burns, DO
- Anesthesiology Physician
- Ramsey, NJ
- NPI 1578661856
-
Evan Chen, MD
- Anesthesiology Physician
- Washington, DC
- NPI 1265646707
-
Marie Annette Domingo, M.D.
- Pain Medicine (Anesthesiology) Physician
- Warren, NJ
- NPI 1801834429
-
Mamdouh S Hanna, M.D.
- Specialist
- Bayonne, NJ
- NPI 1073517462
-
Yihao Jiang, M.D.
- Anesthesiology Physician
- Wood Ridge, NJ
- NPI 1649539248
-
Elizabeth Kao, M.D.
- Anesthesiology Physician
- Warwick, NY
- NPI 1326217753
-
Jeffery Klein, MD
- Pain Medicine (Anesthesiology) Physician
- Torrington, CT
- NPI 1194751008
-
Rebecca Martinez, D.O.
- Anesthesiology Physician
- Newton, NJ
- NPI 1629097340
-
Marisa Parise Petrucelli, D.O.
- Anesthesiology Physician
- Newton, NJ
- NPI 1043506637
-
Ednan Sheikh, MD
- Pain Medicine (Anesthesiology) Physician
- Clifton, NJ
- NPI 1013128016
-
Steven J Stein, M.D.
- Anesthesiology Physician
- Paramus, NJ
- NPI 1275576084
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.