Ambulatory Surgery Center at Old Bridge LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

22900 Issued in NJ

Legal business name

AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC

Practice address

400 Perrine Rd
Suite 408
Old Bridge, NJ 08857-2843

Phone

(732) 533-9222

Fax

(732) 553-9227

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Said Samra, MDNPI 1023080140

Title

Authorized Official

Phone

(732) 553-9222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Ambulatory Surgery Center at Old Bridge LLCCCN 31C0001141

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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

• Said A Samra, MD

  • Specialist
  • Holmdel, NJ
  • NPI 1023080140
  NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1043384704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD",
            "address_2": "SUITE 408",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572843",
            "telephone_number": "732-533-9222",
            "fax_number": "732-553-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD",
            "address_2": "SUITE 408",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572843",
            "telephone_number": "732-533-9222",
            "fax_number": "732-553-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "SAMRA",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-553-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchel J Altamura, DC
• Oluseyi Ayodeji Aluko, APN , PMHNP
• Always Care Adult Center, Inc.
• Jenna M Ambrosio, OT
• Patrick M Ambrosio, DO
• Patience Nancy Ameho
• James Amend, M.D.
• Mouner Amer, DDS
• American DME, LLC
• Zuleekha Omobolaji Aminu, DPT

• Ambulatory Surgical Clinic/Center in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.