Shore Ambulatory Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

22962 Issued in NJ

Legal business name

SHORE AMBULATORY SURGICAL CENTER, LLC

Practice address

405 Bethel Rd
Somers Point, NJ 08244-2108

Phone

(609) 601-7601

Fax

(609) 601-7910

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Martha McKinley

Title

Business Manager

Phone

(609) 601-7601

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Shore Ambulatory Surgical Center LLC Dba Jersey Shore Ambulatory Surgery CenterCCN 31C0001151

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Virtua - West Jersey Health System, Inc.

  • Home Health Agency
  • Marlton, NJ
  • NPI 1316943004

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Shore Orthopaedic University Associates PA

  • Specialist
  • Somers Point, NJ
  • NPI 1114056900

  Member Of

  NPD member

Practitioners 1

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

• Richard Barnard Islinger, M.D.

  • Orthopaedic Surgery Physician
  • Somers Point, NJ
  • NPI 1043223605
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184686164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442108",
            "telephone_number": "609-601-7601",
            "fax_number": "609-601-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442108",
            "telephone_number": "609-601-7601",
            "fax_number": "609-601-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE AMBULATORY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "609-601-7601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ID #",
            "identifier": "0000895000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS OF NJ",
            "identifier": "001090",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1170735",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN ID#",
            "identifier": "A3199967",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David T Seitman, M.D.
• Martin Senese, DO
• Brian D Senn, M.S.P.T
• Coleen Marie Serzanin, RN, MSN, PMHNP-BC
• Arlene Shockley
• Shore Break Recovery
• Shore Cardiology Associates PA
• Shore Family Medicine Ass
• Shore Health Services Corporation
• Shore Heart Consultants LLC

• Ambulatory Surgical Clinic/Center in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• 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.
• 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.