Organization Active NPI

Wentworth Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Somersworth, NH
National Provider Identifier
1235567264
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WENTWORTH SURGERY CENTER, LLC
Practice address
6 Works Way
Somersworth, NH 03878
Phone
(603) 285-9288
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Ms. Cecilia Kronawitter
Title
Center Manager
Phone
(561) 330-3381

Specialties & licenses 1

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

Addresses

Primary practice location

6 Works Way
Somersworth, NH 03878

Mailing address

777 E Atlantic Ave Ste 222
C/O Hda Enterprises, Inc.
Delray Beach, FL 33483-5352
Phone (561) 330-3381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140929002344 NH Part B Supplier - Ambulatory Surgical Center 5890915680 Practice locations: Somersworth, NH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Wentworth Surgery Center LLCCCN 30C0001034
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
30D2070893Wentworth Surgery Center, LLC6 Works Way, Somersworth, NH 03878Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1235567264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E ATLANTIC AVE STE 222",
            "address_2": "C/O HDA ENTERPRISES, INC.",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835352",
            "telephone_number": "561-330-3381",
            "fax_number": "561-330-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WORKS WAY",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "03878",
            "telephone_number": "603-285-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "KRONAWITTER",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "CENTER MANAGER",
        "authorized_official_telephone_number": "561-330-3381",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.