Organization Active NPI

Hunterdon Center for Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Flemington, NJ
National Provider Identifier
1164561064
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
80336 Issued in NJ
Legal business name
HUNTERDON CENTER FOR SURGERY, LLC
Practice address
9100 Wescott Dr Ste 201
Flemington, NJ 08822-4677
Phone
(908) 806-7017
Fax
(908) 806-2838
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jacqueline Lee Jerko
Title
Executive Director
Phone
(908) 806-7017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 80336 NJ Primary

Addresses

Primary practice location

9100 Wescott Dr Ste 201
Flemington, NJ 08822-4677

Mailing address

9100 Wescott Dr Ste 201
Flemington, NJ 08822-4677
Phone (908) 806-7017

Other identifiers 1

IdentifierTypeStateIssuer
6758801MedicaidNJ

Other names 1

  • Surgery Today Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326000704 NJ Part B Supplier - Ambulatory Surgical Center 2961588207 Practice locations: Flemington, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Hunterdon Center for Surgery LLCCCN 31C0001052
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1100085Hunterdon Center for Surgery9100 Wescott Drive, Flemington, NJ 08822Certificate of waiverMay 28, 2027

National Provider Directory

National Provider Directory

Locations

9100 Wescott Dr
Ste 201
Flemington, NJ 08822
Phone (908) 806-7017

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1164561064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WESCOTT DR STE 201",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224677",
            "telephone_number": "908-806-7017",
            "fax_number": "908-806-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WESCOTT DR STE 201",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224677",
            "telephone_number": "908-806-7017",
            "fax_number": "908-806-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERDON CENTER FOR SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "JERKO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-806-7017",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "80336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6758801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Today",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.