Freehold Surgical Center, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

FREEHOLD SURGICAL CENTER, LLC

Practice address

500 W Main St
Freehold, NJ 07728-2500

Phone

(732) 462-8707

Fax

(732) 780-3699

NPI assigned

Oct 20, 2006

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Magnifico

Title

VP ASC Operations

Phone

(201) 216-1700

Specialties & licenses 1

Addresses

Listed as

Freehold Surgical Center LLCCCN 31C0001013

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Virtua - West Jersey Health System, Inc.

  dba Virtua Home Care at West Jersey

  • Home Health Agency
  • Marlton, NJ
  • NPI 1316943004

  Member Of

  NPD member

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.

• Roman G. Kernitsky, MD

  • Ophthalmology Physician
  • Freehold, NJ
  • NPI 1407936966
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1306928916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "address_2": "4TH FLOOR",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282500",
            "telephone_number": "732-462-8707",
            "fax_number": "732-780-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEHOLD SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-02-05",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "MAGNIFICO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "VP ASC OPERATIONS",
        "authorized_official_telephone_number": "201-216-1700"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freehold Radiology Group
• Freehold Rheumatology and Endocrinology LLC
• Freehold Smiles Family Dentistry P.a.
• Freehold Specialty Pharmacy LLC (CentraState Specialty Script)
• Freehold Spine Associates
• Freehold Township
• Freehold Township Schools
• Elizabeth Ann Frenkel, PH.D.
• Marie Frey, DPT
• Barry Friedenberg, M.D.

• Ophthalmologic Surgery Clinic/Center in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Ophthalmologic Surgery Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.