Organization Active NPI

Essex Surgical Arts Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Belleville, NJ
National Provider Identifier
1295848752
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
NONE Issued in NJ
Legal business name
ESSEX SURGICAL ARTS SURGERY CENTER, LLC
Practice address
727 Joralemon St Ste B
Belleville, NJ 07109-1455
Phone
(973) 329-0380
Fax
(973) 329-0383
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Abraham Knoll, MD
Title
Authorized Official/ Cmo
Phone
(516) 717-1839

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Ambulatory Surgical Clinic/Center 261QA1903X NONE NJ Primary

Addresses

Primary practice location

727 Joralemon St Ste B
Belleville, NJ 07109-1455

Mailing address

727 Joralemon St
Belleville, NJ 07109-1455
Phone (973) 329-0380

Other names 1

  • Mobile Vascular Physicians Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

727 Joralemon St
Ste B
Belleville, NJ 07109
Phone (973) 329-0380

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1295848752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 JORALEMON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091455",
            "telephone_number": "973-329-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 JORALEMON ST STE B",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091455",
            "telephone_number": "973-329-0380",
            "fax_number": "973-329-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX SURGICAL ARTS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ CMO",
        "authorized_official_telephone_number": "516-717-1839",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Vascular Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.