NPIMap

Organization Active NPI

Suburban Endoscopy Center, LLC

  • Specialist
  • Verona, NJ
National Provider Identifier
1275801672
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUBURBAN ENDOSCOPY CENTER, LLC
Practice address
799 Bloomfield Ave
Suite 101
Verona, NJ 07044-1367
Phone
(973) 571-1600
Fax
(973) 571-1882
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Jenetha Moran
Title
Officer/Authorized Official
Phone
(972) 763-3893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

799 Bloomfield Ave
Suite 101
Verona, NJ 07044-1367

Mailing address

799 Bloomfield Ave
Suite 101
Verona, NJ 07044-1367
Phone (973) 571-1600

Other names 1

  • UAP Verona Endo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Suburban Endoscopy Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1275801672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 BLOOMFIELD AVE",
            "address_2": "SUITE 101",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441367",
            "telephone_number": "973-571-1600",
            "fax_number": "973-571-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 BLOOMFIELD AVE",
            "address_2": "SUITE 101",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441367",
            "telephone_number": "973-571-1600",
            "fax_number": "973-571-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UAP Verona Endo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.