Advanced Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED SURGERY CENTER, LLC

Practice address

1608 Lemoine Ave
Suite 101
Fort Lee, NJ 07024-5622

Phone

(201) 585-9921

Fax

(201) 585-9979

NPI assigned

Dec 2, 2008

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Lee, M.D.NPI 1902838253

Title

Parter

Phone

(201) 906-2309

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194960369. Details of each certification follow.

• CCN 31C0001333 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 31C0001333

Legal name

ADVANCED SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 1, 2018

Last certification

Nov 10, 2021

Ownership / control type

Proprietary

Facility address

1608 Lemoine Avenue, Suite 101
Fort Lee, NJ 07024

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

CLIA laboratory certificates

Practitioners 2

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.

• Raashan Carlos Williams, M.D.

  • Cardiovascular Disease Physician
  • Union City, NJ
  • NPI 1851310726
  Medicare reassignment NPD
• James R Lee, MD

  • Obstetrics & Gynecology Physician
  • Fort Lee, NJ
  • NPI 1902838253
  NPD Authorized official

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1194960369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE",
            "address_2": "SUITE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245622",
            "telephone_number": "201-585-9921",
            "fax_number": "201-585-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE",
            "address_2": "SUITE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245622",
            "telephone_number": "201-585-9921",
            "fax_number": "201-585-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PARTER",
        "authorized_official_telephone_number": "201-906-2309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ahmed Ahmed, DO
• Waqar Ahmed

• Ambulatory Surgical Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, 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 Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.