Ambulatory Surgical Center of Union County, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Union, NJ
NPI 1194716191 · NPPES record last updated Sep 4, 2009
Key facts
- NPI
- 1194716191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 23028 (NJ)
- Legal business name
- AMBULATORY SURGICAL CENTER OF UNION COUNTY, LLC
- Practice address
- 950 W Chestnut St
Suite 200
Union, NJ 07083-6950 - Phone
- (908) 688-2700
- Fax
- (908) 688-7424
- NPI assigned
- Oct 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Marcy Sasso
- Title
- Director of Operations
- Phone
- (908) 688-2700
Practitioners 1
-
Mark R Schoenfeld, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 23028 | NJ | Yes |
Addresses
Primary practice location
950 W Chestnut St
Suite 200
Union, NJ 07083-6950
Mailing address
950 W Chestnut St
Suite 200
Union, NJ 07083-6950
Phone (908) 688-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001124 | Other | NJ | BC/BS |
NPI Registry JSON
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1194716191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W CHESTNUT ST",
"address_2": "SUITE 200",
"city": "UNION",
"state": "NJ",
"postal_code": "070836950",
"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",
"address_2": "SUITE 200",
"city": "UNION",
"state": "NJ",
"postal_code": "070836950",
"telephone_number": "908-688-2700",
"fax_number": "908-688-7424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY SURGICAL CENTER OF UNION COUNTY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-31",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "SASSO",
"authorized_official_first_name": "MARCY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "908-688-2700"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": "23028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "001124",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.