Active NPI
Skylands Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Stanhope, NJ
National Provider Identifier
1083484794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SKYLANDS SURGERY CENTER LLC
- Practice address
- 16 US Highway 206
Stanhope, NJ 07874-3270 - Phone
- (973) 801-2739
- NPI assigned
- Jan 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vishal J Rupani
- Title
- Coo
- Phone
- (973) 801-2739
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
16 US Highway 206
Stanhope, NJ 07874-3270
Mailing address
16 US Highway 206
Stanhope, NJ 07874-3270
Other names 1
- SKYLANDS SURGERY CENTER LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240801003926 | NJ | Part B Supplier - Ambulatory Surgical Center | 7113464645 | Practice locations: Stanhope, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2297869 | Skylands Surgery Center, LLC | Certificate of waiver | Jan 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
16 US Highway 206
Ste A
Stanhope, NJ 07874
Phone (908) 315-3084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1083484794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 US HIGHWAY 206",
"city": "STANHOPE",
"state": "NJ",
"postal_code": "078743270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 US HIGHWAY 206",
"city": "STANHOPE",
"state": "NJ",
"postal_code": "078743270",
"telephone_number": "973-801-2739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLANDS SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "RUPANI",
"authorized_official_first_name": "VISHAL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "973-801-2739"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SKYLANDS SURGERY CENTER LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stanhope, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.