Organization Active NPI

North East Regional Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Paramus, NJ
National Provider Identifier
1124621743
Registry record updated Oct 13, 2025
On this page

Key facts

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

Updated by the provider on Oct 13, 2025

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 LLCCCN 31C0001344
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

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

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.

Verify at the official NPI Registry.