Organization Active NPI

Oak Tree Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Edison, NJ
National Provider Identifier
1205929080
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OAK TREE SURGERY CENTER, LLC
Practice address
1931 Oak Tree Rd
Edison, NJ 08820-2072
Phone
(732) 603-8603
Fax
(732) 603-8634
NPI assigned
Oct 2, 2006
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Jeffrey E. Snodgrass
Title
Executive Director
Phone
(615) 665-1283

Specialties & licenses 1

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

Addresses

Primary practice location

1931 Oak Tree Rd
Edison, NJ 08820-2072

Mailing address

1A Burton Hills Blvd # L&C
Nashville, TN 37215-6100
Phone (615) 240-3741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121102000480 NJ Part B Supplier - Ambulatory Surgical Center 2668623471 Practice locations: Edison, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Oak Tree Surgery Center LLCCCN 31C0001101
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
31D0995682Oak Tree Surgery Center1931 Oak Tree Road, Edison, NJ 08820Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

1931 Oak Tree Rd
Edison, NJ 08820
Phone (732) 482-9600

1931 Oak Tree Rd
Ste 100
Edison, NJ 08820
Phone (732) 603-8603

1A Burton Hills Blvd
Ste 300
Nashville, TN 37215
Phone (615) 240-3820

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1205929080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156100",
            "telephone_number": "615-240-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202072",
            "telephone_number": "732-603-8603",
            "fax_number": "732-603-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.