Wayne Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

22771 Issued in NJ

Legal business name

WAYNE SURGICAL CENTER LLC

Practice address

1176 Hamburg Tpke
Wayne, NJ 07470-5069

Phone

(973) 709-1900

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dennis William Simmons

Title

Coo

Phone

(973) 709-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Elite Surgical Center LLC

  • Clinic/Center
  • Wayne, NJ
  • NPI 1265546691

  O20081107000514

  Same enrollment

Listed as

Wayne Surgical Center LLCCCN 31C0001124

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Christo S Klele, M.D.

  • Anesthesiology Physician
  • Passaic, NJ
  • NPI 1992708184
  NPD
• Izik Yitzhaki, M.D.

  • Anesthesiology Physician
  • Totowa, NJ
  • NPI 1902809957
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184749673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705069",
            "telephone_number": "973-709-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705069",
            "telephone_number": "973-709-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "973-709-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Radiology Center Co
• Wayne Radiology Center LLC
• Wayne RX Inc
• Wayne RX Inc
• Wayne Smiles LLC
• Wayne TMS Institute LLC
• Wayne TMS Institute, LLC
• Wayne Township Public Schools
• Wayne Valley Imaging
• Wayne View Corp

• Ambulatory Surgical Clinic/Center in Wayne, NJ
• Providers in Wayne, 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.