Organization Active NPI

Skylands Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Stanhope, NJ
National Provider Identifier
1083484794
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jan 3, 2024

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240801003926 NJ Part B Supplier - Ambulatory Surgical Center 7113464645 Practice locations: Stanhope, NJ

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
31D2297869Skylands Surgery Center, LLC16 US Route 206, Suite a, Stanhope, NJ 07874Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.