Active NPI
Main Avenue Clifton Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MAIN AVENUE CLIFTON SURGERY CENTER, LLC
- Practice address
- 1084 Main Ave
Clifton, NJ 07011-2330 - Phone
- (973) 473-4040
- NPI assigned
- Mar 26, 2015
- Last updated
- Mar 26, 2015
- 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
- Amit Poonia, M.D.
- Title
- Owner
- Phone
- (732) 952-5533
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary | |
| Pain Clinic/Center | 261QP3300X | NU |
Addresses
Primary practice location
1084 Main Ave
Clifton, NJ 07011-2330
Mailing address
26 Throckmorton LN
Second Floor
Old Bridge, NJ 08857-2520
Phone (732) 952-5533
National Provider Directory
National Provider Directory- Tax ID family
- Main Avenue Clifton Surgery Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Old Bridge, NJ
- NPI 1720456130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Old Bridge, NJ
- NPI 1780904359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427328000000",
"number": "1134513260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 THROCKMORTON LN",
"address_2": "SECOND FLOOR",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572520",
"telephone_number": "732-952-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1084 MAIN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112330",
"telephone_number": "973-473-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN AVENUE CLIFTON SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-26",
"last_updated": "2015-03-26",
"status": "A",
"authorized_official_last_name": "POONIA",
"authorized_official_first_name": "AMIT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-952-5533",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.