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
- Title
- President
- Phone
- (732) 548-3200
Practitioners 1
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Advanced Surgical Arts Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1020053 | Advanced Surgical Arts Center | Certificate of waiver | Dec 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090121000578 | NJ | Part B Supplier - Ambulatory Surgical Center | 3971667809 | Practice locations: Edison, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R24526 | Other | NJ | STATE LICENSE |
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All providers in Edison, NJ · Ambulatory Surgical Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.