Active NPI
Central Jersey Surgical GRP
- Surgery Physician
- Trenton, NJ
National Provider Identifier
1154355154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CENTRAL JERSEY SURGICAL GRP
- Practice address
- 40 Fuld Street
Suite 403
Trenton, NJ 08638 - Phone
- (609) 656-8622
- Fax
- (609) 656-8626
- NPI assigned
- Jul 10, 2006
- 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
- Mrs. Patricia Annette Abud, RN
- Title
- Office Manager
- Phone
- (609) 656-8622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NJ | Primary |
Addresses
Primary practice location
40 Fuld Street
Suite 403
Trenton, NJ 08638
Mailing address
40 Fuld Street
Suite 403
Trenton, NJ 08638
Phone (609) 656-8622
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0533464000 | Other | AMERIHEALTH | |
| 7421206 | Medicaid | NJ | |
| 16695 | Other | AETNA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Trenton, NJ
- NPI 1639115819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154355154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FULD STREET",
"address_2": "SUITE 403",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08638",
"telephone_number": "609-656-8622",
"fax_number": "609-656-8626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FULD STREET",
"address_2": "SUITE 403",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08638",
"telephone_number": "609-656-8622",
"fax_number": "609-656-8626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL JERSEY SURGICAL GRP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABUD",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "609-656-8622",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0533464000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7421206",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "16695",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.