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
0941384655The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
NJ
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
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 Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (4).

Sources for this page