Active NPI
North East Regional Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Paramus, NJ
National Provider Identifier
1124621743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NORTH EAST REGIONAL SURGICAL CENTER, LLC
- Practice address
- 650 From Rd
Paramus, NJ 07652-3517 - Phone
- (551) 284-7220
- Fax
- (551) 284-7221
- NPI assigned
- Nov 17, 2020
- 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
- Jonathan Bailey
- Title
- Officer/Ao
- Phone
- (203) 609-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
650 From Rd
Paramus, NJ 07652-3517
Mailing address
633 From Rd
Paramus, NJ 07652-3514
Phone (551) 284-7220
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncaporino@neregionalsurgical.com | Direct | |
| Direct Messaging Address | ncaporino@neregionalsurgical.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210409001455 | NJ | Part B Supplier - Ambulatory Surgical Center | 8729496872 | Practice locations: Paramus, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- North East Regional Surgical Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Retail Pharmacy
- Eatontown, NJ
- NPI 1538998687
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Union, NJ
- NPI 1912012071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760313600000",
"number": "1124621743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 FROM RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523514",
"telephone_number": "551-284-7220",
"fax_number": "551-284-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 FROM RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523517",
"telephone_number": "551-284-7220",
"fax_number": "551-284-7221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH EAST REGIONAL SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-17",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OFFICER/AO",
"authorized_official_telephone_number": "203-609-1168"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncaporino@neregionalsurgical.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "650 From Rd",
"city": "Paramus",
"state": "NJ",
"country_code": "US",
"postal_code": "076523517",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ncaporino@neregionalsurgical.com",
"affiliation": "N",
"address_1": "633 From Rd",
"city": "Paramus",
"state": "NJ",
"country_code": "US",
"postal_code": "076523514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paramus, NJ
- Thomas James Nolan Jr., MSW
- James Vincent Nono, LCSW, LCADC
- Nordstrom Inc & Subsidiaries
- Sarah Noreika, MS, RD
- North American Diagnostic Imaging, LLC
- North Jersey Counseling Services LLC
- North Jersey Counseling Services, LLC Dba Strive Health LLC
- North Jersey Friendship House, Inc
- North Jersey Nuero Diagnostics Corp
- North Jersey OB GYN, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.