Organization Active NPI

Surgery Center of Linwood LLC

  • Ambulatory Surgical Clinic/Center
  • Linwood, NJ
National Provider Identifier
1225847163
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGERY CENTER OF LINWOOD LLC
Practice address
1801 New Rd Ste D
Linwood, NJ 08221-1036
Phone
(609) 244-0722
Fax
(609) 244-0836
NPI assigned
Jan 6, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
William Vanderveer
Title
Member
Phone
(609) 653-3055

Specialties & licenses 1

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

Addresses

Primary practice location

1801 New Rd Ste D
Linwood, NJ 08221-1036

Mailing address

2500 Morris Ave Ste 220
Union, NJ 07083-5675
Phone (732) 906-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520000611 NJ Part B Supplier - Ambulatory Surgical Center 5890213292 Practice locations: Linwood, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225847163. Details of each certification follow.

Ambulatory surgical center certification: CCN 31C0001378

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SURGERY CENTER OF LINWOOD LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Apr 15, 2026
Last certification
Apr 15, 2026
Ownership / control type
Proprietary
Facility address
1801 NEW RD, Suite D
Linwood, NJ 08221

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
31D2335861Surgery Center of Linwood, LLC1801 New Road, Linwood, NJ 08221Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

1801 New Rd
Ste D
Linwood, NJ 08221
Phone (609) 244-0722

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1225847163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MORRIS AVE STE 220",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835675",
            "telephone_number": "732-906-9600",
            "fax_number": "908-666-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NEW RD STE D",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211036",
            "telephone_number": "609-244-0722",
            "fax_number": "609-244-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF LINWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "VANDERVEER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-653-3055"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.