Active NPI
Wentworth Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Somersworth, NH
National Provider Identifier
1235567264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D2070893 | Wentworth Surgery Center, LLC | Certificate of waiver | Dec 29, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Radiation Oncology Clinic/Center
- Portsmouth, NH
- NPI 1720563703
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Somersworth, NH
- NPI 1477550739
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
- Wentworth Douglass Hospital
- Wentworth Douglass Physician Corporation
- Wentworth Home Care and Hospice, L.L.C.
- Wentworth Home Care and Hospice, LLC
- Wentworth Home Care and Hospice, LLC
- Kristian Ann June West, PT, DPT
- Jessica Whitten
- Kelly Jane Wilichoski, A.T.,C.
- Martin R Williams Jr.
- Brian S Wilson, PA-C
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.