Organization Active NPI

Meta Surgical Associates LLC

  • Ambulatory Surgical Clinic/Center
  • Montvale, NJ
National Provider Identifier
1023640539
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
META SURGICAL ASSOCIATES LLC
Practice address
6 Chestnut Ridge Rd
Montvale, NJ 07645-1802
Phone
(201) 799-4014
Fax
(201) 746-9104
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Marissa Smith
Title
Billing Manager
Phone
(201) 799-4014

Specialties & licenses 1

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

Addresses

Primary practice location

6 Chestnut Ridge Rd
Montvale, NJ 07645-1802

Mailing address

6 Chestnut Ridge Rd
Montvale, NJ 07645-1802
Phone (201) 799-4014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210419000756 NJ Part B Supplier - Ambulatory Surgical Center 6002224797 Practice locations: Montvale, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Meta Surgical Associates LLCCCN 31C0001359
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
31D2223613Meta Surgical Associates6 Chestnut Ridge Rod, Montvale, NJ 07645Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1023640539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451802",
            "telephone_number": "201-799-4014",
            "fax_number": "201-746-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHESTNUT RIDGE RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451802",
            "telephone_number": "201-799-4014",
            "fax_number": "201-746-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-799-4014"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.