Organization Active NPI

Mine Hill Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Mine Hill, NJ
National Provider Identifier
1093739492
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MINE HILL SURGICAL CENTER, LLC
Practice address
195 Route 46
Suite 202
Mine Hill, NJ 07803-3163
Phone
(973) 989-5185
Fax
(973) 328-4097
NPI assigned
Jul 27, 2006
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Mrs. Jennifer Lynn Rand, R.N.
Title
RN-Transition
Phone
(973) 989-5185

Specialties & licenses 1

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

Addresses

Primary practice location

195 Route 46
Suite 202
Mine Hill, NJ 07803-3163

Mailing address

195 Route 46
Suite 202
Mine Hill, NJ 07803-3163
Phone (973) 989-5185

National Provider Directory

National Provider Directory

Locations

195 US Highway 46
Ste 202
Mine Hill, NJ 07803
Phone (973) 989-5185

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1093739492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ROUTE 46",
            "address_2": "SUITE 202",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033163",
            "telephone_number": "973-989-5185",
            "fax_number": "973-328-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 ROUTE 46",
            "address_2": "SUITE 202",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033163",
            "telephone_number": "973-989-5185",
            "fax_number": "973-328-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINE HILL SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "RN-TRANSITION",
        "authorized_official_telephone_number": "973-989-5185",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mine Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.