NPIMap

Organization Active NPI

Coastal Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Neptune, NJ
National Provider Identifier
1316219470
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
COASTAL SURGERY CENTER, LLC
Practice address
3700 Route 33
Suite LL-01
Neptune, NJ 07753-3206
Phone
(732) 280-7855
NPI assigned
Feb 6, 2012
Last updated
Feb 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Lisa Hanson
Title
Director of Finance
Phone
(732) 280-7855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3700 Route 33
Suite LL-01
Neptune, NJ 07753-3206

Mailing address

3700 Route 33
Suite LL-01
Neptune, NJ 07753-3206
Phone (732) 280-7855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130212000373 NJ Part B Supplier - Ambulatory Surgical Center 6800040270 Practice locations: Neptune, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Coastal Surgery Center LLCCCN 31C0001298
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
31D2038492Coastal Surgery Center, LLC3700 Route 33 LL01, Neptune, NJ 07753Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory

Locations

3700 State Route 33
Ste LL01
Neptune, NJ 07753

3700 State Route 33
Ste LL101
Neptune, NJ 07753

Practitioners & affiliated clinicians

Practitioners 119

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.

View all 119

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1316219470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 33",
            "address_2": "SUITE LL-01",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533206",
            "telephone_number": "732-280-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ROUTE 33",
            "address_2": "SUITE LL-01",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533206",
            "telephone_number": "732-280-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "732-280-7855"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.