NPIMap

Organization Active NPI

Gloucester County Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Mullica Hill, NJ
National Provider Identifier
1073759015
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0400190493 Issued in NJ
Legal business name
GLOUCESTER COUNTY SURGERY CENTER, LLC
Practice address
163 Bridgeton Pike
Building B
Mullica Hill, NJ 08062-2669
Phone
(856) 478-4222
Fax
(856) 478-4408
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Bruce Monaghan, M.D.
Title
Chairman
Phone
(856) 478-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0400190493 NJ Primary

Addresses

Primary practice location

163 Bridgeton Pike
Building B
Mullica Hill, NJ 08062-2669

Mailing address

163 Bridgeton Pike
Building B
Mullica Hill, NJ 08062-2669
Phone (856) 478-4222

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the 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": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1073759015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BRIDGETON PIKE",
            "address_2": "BUILDING B",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622669",
            "telephone_number": "856-478-4222",
            "fax_number": "856-478-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BRIDGETON PIKE",
            "address_2": "BUILDING B",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622669",
            "telephone_number": "856-478-4222",
            "fax_number": "856-478-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOUCESTER COUNTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "MONAGHAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "856-478-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "0400190493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.