Organization Active NPI

Menlo Park Surgery Center, LLC.

  • Ambulatory Surgical Clinic/Center
  • Edison, NJ
National Provider Identifier
1063750867
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MENLO PARK SURGERY CENTER, LLC.
Practice address
10 Parsonage Rd Ste 204
Edison, NJ 08837-2429
Phone
(732) 243-9500
Fax
(732) 253-9501
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Dr. Matthew J Garfinkel, M.D.
Title
Medical Director
Phone
(732) 253-9500

Specialties & licenses 1

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

Addresses

Primary practice location

10 Parsonage Rd Ste 204
Edison, NJ 08837-2429

Mailing address

10 Parsonage Rd Ste 204
Edison, NJ 08837-2429
Phone (732) 243-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140116001446 NJ Part B Supplier - Ambulatory Surgical Center 5799913844 Practice locations: Edison, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Menlo Park Surgery Center LLCCCN 31C0001308
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
31D2056877Menlo Park Surgery Center10 Parsonage Road, Suite 204, Edison, NJ 08837Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1063750867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 204",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "732-243-9500",
            "fax_number": "732-253-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 204",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "732-243-9500",
            "fax_number": "732-253-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENLO PARK SURGERY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "GARFINKEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-253-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.