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

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001124OtherNJBC/BS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2009.

{
    "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": []
}

Other providers in Union, NJ

All providers in Union, NJ · Ambulatory Surgical Clinic/Center in New Jersey

Sources for this page

Verify at the official NPI Registry.