Central Jersey Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

22649 Issued in NJ

Legal business name

CENTRAL JERSEY SURGERY CENTER LLC

Practice address

97 Corbett Way
Eatontown, NJ 07724-2264

Phone

(732) 460-2777

Fax

(732) 460-2787

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Teresa Danna

Title

Officer/Authorized Official

Phone

(972) 763-3890

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Central Jersey Surgery Center Other name

Listed as

Central Jersey Surgery Center LLCCCN 31C0001118

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

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

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1255361259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242264",
            "telephone_number": "732-460-2777",
            "fax_number": "732-460-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242264",
            "telephone_number": "732-460-2777",
            "fax_number": "732-460-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "DANNA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3890"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8182701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS",
            "identifier": "311118",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490004318",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Jersey Surgery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Central Jersey Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Center for Vocational Rehab
• Center for Vocational Rehabilitation
• Central Jersey Hand Surgery
• Central Jersey Open Extremity MRI
• Central Jersey Specialty Surgical Associates,LLC
• Central Jersey Urgent Care
• Leah Felipe Cezar, DPT
• Bianca Chabla, LSW
• Harry Chambarry, DC DABCN
• Nidhi Champaneri

• Ambulatory Surgical Clinic/Center in Eatontown, NJ
• Providers in Eatontown, 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 Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.