NPIMap

Organization Active NPI

Summit Surgical Center, LLC

Doing business as Hand Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Marlton, NJ
National Provider Identifier
1073526208
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
24019 Issued in NJ
Legal business name
SUMMIT SURGICAL CENTER, LLC
Doing business as
Hand Surgery Center
Practice address
5000 Sagemore Drive
Suite 106
Marlton, NJ 08053
Phone
(856) 983-4263
Fax
(856) 983-9362
NPI assigned
Aug 15, 2006
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT SURGICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Stephanie Fendrick
Title
Co-Chair
Phone
(856) 247-7838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 24019 NJ Primary

Addresses

Primary practice location

5000 Sagemore Drive
Suite 106
Marlton, NJ 08053

Mailing address

200 Bowman Drive
Suite D160
Voorhees, NJ 08043
Phone (856) 247-7838

Other identifiers 11

IdentifierTypeStateIssuer
1372571009MOtherNJCIGNA
7287328OtherNJAETNA PPO
0001480000OtherNJHIGHMARK
0001480000OtherNJKEYSTONE
311051OtherNJHORIZON BCBS
490002554OtherNJMEDICARE RAILROAD
IL2400OtherNJHEALTHNET
0001480000OtherNJAMERIHEALTH
2683282OtherNJAETNA HMO
ANC844OtherNJOXFORD
000K06569OtherNJ1ST OPTION/PHS

Other names 1

  • Hand Surgery Center Doing business as

National Provider Directory

National Provider Directory
Part of
Summit Surgical Center LLC

Locations

5000 Sagemore Dr
Ste 106
Marlton, NJ 08053
Phone (718) 279-9295

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1073526208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DRIVE",
            "address_2": "SUITE D160",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-247-7838",
            "fax_number": "856-247-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAGEMORE DRIVE",
            "address_2": "SUITE 106",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-983-4263",
            "fax_number": "856-983-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT SURGICAL CENTER, LLC",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "FENDRICK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CO-CHAIR",
        "authorized_official_telephone_number": "856-247-7838"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "24019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1372571009M",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7287328",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "0001480000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0001480000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS",
            "identifier": "311051",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490002554",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IL2400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0001480000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2683282",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC844",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST OPTION/PHS",
            "identifier": "000K06569",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hand Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.