Organization Active NPI

Toms River Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Toms River, NJ
National Provider Identifier
1023070026
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
22908 Issued in NJ
Legal business name
TOMS RIVER SURGERY CENTER, LLC
Practice address
1430 Hooper Avenue
Suite 301
Toms River, NJ 08753-2895
Phone
(732) 240-2277
Fax
(732) 240-5428
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan Bailey
Title
Authorized Official
Phone
(203) 609-1168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 22908 NJ Primary

Addresses

Primary practice location

1430 Hooper Avenue
Suite 301
Toms River, NJ 08753-2895

Mailing address

1430 Hooper Avenue
Suite 301
Toms River, NJ 08753-2895
Phone (732) 240-2277

Other names 1

  • Toms River Surgery Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 2.16.840.1.113883.3.667.2 Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100122000096 NJ Part B Supplier - Ambulatory Surgical Center 2062554504 Practice locations: Toms River, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Toms River Surgery CenterCCN 31C0001153
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0992452Toms River Surgery Center1430 Hooper Avenue, Toms River, NJ 08753Certificate of waiverOct 16, 2027

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1430 Hooper Ave
Fl 3
Toms River, NJ 08753

1430 Hooper Ave
Ste 3O1
Toms River, NJ 08753

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1023070026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HOOPER AVENUE",
            "address_2": "SUITE 301",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532895",
            "telephone_number": "732-240-2277",
            "fax_number": "732-240-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HOOPER AVENUE",
            "address_2": "SUITE 301",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532895",
            "telephone_number": "732-240-2277",
            "fax_number": "732-240-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMS RIVER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-609-1168"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2.16.840.1.113883.3.667.2",
            "affiliation": "Y",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Toms River Surgery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Toms River Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.