Organization Active NPI

Central Jersey Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hillsborough, NJ
National Provider Identifier
1043297872
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTRAL JERSEY AMBULATORY SURGICAL CENTER, LLC
Practice address
511 Courtyard Dr
Building 500
Hillsborough, NJ 08844-4255
Phone
(908) 895-0001
Fax
(908) 685-8833
NPI assigned
Dec 22, 2005
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Katelyn Marie Meyer
Title
Administrator
Phone
(908) 895-0001

Specialties & licenses 1

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

Addresses

Primary practice location

511 Courtyard Dr
Building 500
Hillsborough, NJ 08844-4255

Mailing address

511 Courtyard Dr BLDG 500
Hillsborough, NJ 08844-4255
Phone (908) 895-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518000791 NJ Part B Supplier - Ambulatory Surgical Center 0648260828 Practice locations: Hillsborough, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Central Jersey Ambulatory Surgical Center LLCCCN 31C0001142
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
31D1015959Central-Jersey Ambulatory Surgical511 Courtyard Drive, Hillsborough, NJ 08844Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

511 Courtyard Dr
Bldg 500
Hillsborough, NJ 08844
Phone (908) 218-9222

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1043297872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 COURTYARD DR BLDG 500",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444255",
            "telephone_number": "908-895-0001",
            "fax_number": "908-685-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 COURTYARD DR",
            "address_2": "BUILDING 500",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444255",
            "telephone_number": "908-895-0001",
            "fax_number": "908-685-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY AMBULATORY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "908-895-0001"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.