Active NPI
Essex Surgical Arts Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Belleville, NJ
National Provider Identifier
1295848752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- NONE
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Vascular & Interventional Radiology Physician
- Belleville, NJ
- NPI 1023631215
Member Of
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.
-
- Foot & Ankle Surgery Podiatrist
- Belleville, NJ
- NPI 1699889535
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.