Core Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORE SURGERY CENTER LLC

Practice address

256 Stuyvesant Avenue
Lyndhurst, NJ 07071

Phone

(201) 905-1113

Fax

(201) 255-0102

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jagdip Desai, MDNPI 1194761593

Title

Medical Director

Phone

(908) 705-6857

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Jagdip Desai, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Belleville, NJ
  • NPI 1194761593
  Authorized official Same address or phone

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1083131544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 STUYVESANT AVENUE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "07071",
            "telephone_number": "201-905-4113",
            "fax_number": "201-255-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 STUYVESANT AVENUE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "07071",
            "telephone_number": "201-905-1113",
            "fax_number": "201-255-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "JAGDIP",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-705-6857",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119288",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Concepcion, MT
• Contour Chiropractic LLC
• Lakeesha Daniella Conyers, LAC
• James Michael Cooney, L.C.S.W.
• Core Medical Group, LLC
• Felipe R Cortes
• Thomas Anthony Crangle, LCSW
• Jennifer Lee Crawford, MPA-C
• Nicole M Cristello, M.S., BCBA
• Veronica C Cruz-Martinez, LMFT

• Ambulatory Surgical Clinic/Center in Lyndhurst, NJ
• Providers in Lyndhurst, 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 Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.