Peninsula Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PENINSULA SURGERY CENTER, LLC

Practice address

29 E 29TH St
Bayonne, NJ 07002-4654

Phone

(973) 729-3276

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dennis I. Kelly

Title

Contracted Manager

Phone

(201) 620-3636

Specialties & licenses 1

Addresses

Locations

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.

• Thomas Ernst Simpson, M.D.,F.A.C.S.

  • Surgery Physician
  • Bayonne, NJ
  • NPI 1326139007
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1255636213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "973-729-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CONTRACTED MANAGER",
        "authorized_official_telephone_number": "201-620-3636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Antonio Pelosi III, MD
• Marco Antonio Pelosi II, MD
• Rosenna Davita Hinnant Pemberton, LPC
• Renee Eva Pena
• Peninsula Emergency Associates PA
• Nicole Ashley Perez, OTR/L
• Perfect Home Care
• Perfect Medical Transportation Inc
• Marina Perlov, MD
• Allison Perricone, PT, DPT

• Ambulatory Surgical Clinic/Center in Bayonne, NJ
• Providers in Bayonne, 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 Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.