Active NPI
Toms River Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Toms River, NJ
National Provider Identifier
1023070026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 22908
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0992452 | Toms River Surgery Center | Certificate of waiver | Oct 16, 2027 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Retail Pharmacy
- Eatontown, NJ
- NPI 1538998687
Member Of
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.