Active NPI
Garden State Surgical Institute LLC
- Ambulatory Surgical Clinic/Center
- Edison, NJ
National Provider Identifier
1316800311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GARDEN STATE SURGICAL INSTITUTE LLC
- Practice address
- 5 Progress St
Edison, NJ 08820-1102 - Phone
- (732) 947-4200
- Fax
- (732) 947-4211
- NPI assigned
- Dec 5, 2025
- 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
- Charles Conzentino
- Title
- President
- Phone
- (732) 947-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5 Progress St
Edison, NJ 08820-1102
Mailing address
5 Progress St
Edison, NJ 08820-1102
Phone (732) 947-4200
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2344275 | Garden State Surgical Institute LLC | Certificate of waiver | May 19, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1316800311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PROGRESS ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201102",
"telephone_number": "732-947-4200",
"fax_number": "732-947-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PROGRESS ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201102",
"telephone_number": "732-947-4200",
"fax_number": "732-947-4211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE SURGICAL INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-05",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "CONZENTINO",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-947-4200"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.