Organization Active NPI

Jasper Ambulatory Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Brick, NJ
National Provider Identifier
1194950915
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
JASPER AMBULATORY SURGICAL CENTER LLC
Practice address
74 Brick Blvd BLDG 3
Suite 121
Brick, NJ 08723-7984
Phone
(732) 262-0700
NPI assigned
May 22, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Gabriele P. Jasper, M.D.
Title
Managing Member
Phone
(732) 262-0700

Specialties & licenses 1

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

Addresses

Primary practice location

74 Brick Blvd BLDG 3
Suite 121
Brick, NJ 08723-7984

Mailing address

74 Brick Blvd. BLDG 3
Suite 121
Brick, NJ 08723-7984
Phone (732) 262-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090714000584 NJ Part B Supplier - Ambulatory Surgical Center 2860544350 Receives reassigned benefits from 3 practitioners
Practice locations: Brick, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Jasper Ambulatory Surgical Center LLCCCN 31C0001258
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
31D1106779Jasper Ambulatory Surgical Center74 Brick Blvd BLDG # 3 Suite 121, Brick, NJ 08723Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

Locations

74 Brick Blvd
Bldg 3
Brick, NJ 08723
Phone (732) 262-0700

74 Brick Blvd
Ste 121
Brick, NJ 08723
Phone (732) 262-0700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1194950915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD. BLDG 3",
            "address_2": "SUITE 121",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-262-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BRICK BLVD BLDG 3",
            "address_2": "SUITE 121",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237984",
            "telephone_number": "732-262-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "GABRIELE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-262-0700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.