Organization Active NPI

Union County Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Union, NJ
National Provider Identifier
1184097487
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UNION COUNTY SURGERY CENTER, LLC
Practice address
950 W Chestnut St
Union, NJ 07083-6966
Phone
(908) 688-2700
Fax
(908) 688-7424
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Mrs. Deborah Denise Comerford, RN
Title
V.P. of Operations
Phone
(781) 812-4665

Specialties & licenses 1

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

Addresses

Primary practice location

950 W Chestnut St
Union, NJ 07083-6966

Mailing address

950 W Chestnut St
Union, NJ 07083-6966
Phone (908) 688-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160518002095 NJ Part B Supplier - Ambulatory Surgical Center 3476859109 Practice locations: Union, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Union County Surgery Center LLCCCN 31C0001161
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
31D2106064Union County Surgery Center950 West Chestnut Street, Union, NJ 07083Certificate of waiverDec 8, 2027

National Provider Directory

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": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1184097487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836966",
            "telephone_number": "908-688-2700",
            "fax_number": "908-688-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836966",
            "telephone_number": "908-688-2700",
            "fax_number": "908-688-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "COMERFORD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "781-812-4665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.