Organization Active NPI

Nashua Ambulatory Surgical Center LLC

  • Clinic/Center
  • Nashua, NH
National Provider Identifier
1265799092
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NASHUA AMBULATORY SURGICAL CENTER LLC
Practice address
15 Riverside Drive
Nashua, NH 03062
Phone
(603) 622-3670
Fax
(603) 626-9750
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Suzanna D Majewski, COO
Title
Coo
Phone
(603) 622-3670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

15 Riverside Drive
Nashua, NH 03062

Mailing address

11 Washington Place
Bedford, NH 03110
Phone (603) 622-3670

Other names 1

  • BASC At Nashua Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130213000599 NH Part B Supplier - Ambulatory Surgical Center 6305099326 Practice locations: Nashua, NH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Nashua Ambulatory Surgical Center LLCCCN 30C0001033
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
30D2041228Nashua Ambulatory Surgical Center15 Riverside Street, Nashua, NH 03062Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory

Locations

15 Riverside St
Nashua, NH 03062
Phone (603) 622-3670

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": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1265799092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WASHINGTON PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-622-3670",
            "fax_number": "603-626-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RIVERSIDE DRIVE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "603-622-3670",
            "fax_number": "603-626-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHUA AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MAJEWSKI",
        "authorized_official_first_name": "SUZANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "603-622-3670",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASC At Nashua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.