Advanced Surgical Arts Center LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Edison, NJ

NPI 1124247846 · NPPES record last updated Jun 3, 2021

Key facts

NPI
1124247846
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
ADVANCED SURGICAL ARTS CENTER LLC
Practice address
1150 Amboy Ave
Edison, NJ 08837-2500
Phone
(732) 548-3200
NPI assigned
Apr 24, 2007
Organization subpart
No

Authorized official

Name
Dr. Andrew J Miller, MD NPI 1134133945
Title
President
Phone
(732) 548-3200

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare Care Compare: Ambulatory surgical center

Listed as
Advanced Surgical Arts Center LLC CCN 31C0001238
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1020053Advanced Surgical Arts Center
1150 Amboy Avenue, Edison, NJ 08837
Certificate of waiverDec 9, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090121000578 NJ Part B Supplier - Ambulatory Surgical Center 3971667809 Practice locations: Edison, NJ

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

1150 Amboy Ave
Edison, NJ 08837-2500

Mailing address

1150 Amboy Ave
Edison, NJ 08837-2500
Phone (732) 548-3200

Other identifiers

IdentifierTypeStateIssuer
R24526OtherNJSTATE LICENSE

Other providers in Edison, NJ

All providers in Edison, NJ · Ambulatory Surgical Clinic/Center in New Jersey

Sources for this page

Verify at the official NPI Registry.