Organization Active NPI

Mercer County Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lawrenceville, NJ
National Provider Identifier
1336112200
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
23047 Issued in NJ
Legal business name
MERCER COUNTY SURGERY CENTER LLC
Practice address
2A Princess Road
Suite 100
Lawrenceville, NJ 08648
Phone
(609) 895-0290
Fax
(609) 895-0291
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Dr. Fredric Kleinbart, M.D.
Title
Medical Director
Phone
(609) 895-0290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 23047 NJ Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

2A Princess Road
Suite 100
Lawrenceville, NJ 08648

Mailing address

2A Princess Road
Suite 100
Lawrenceville, NJ 08648
Phone (609) 895-0290

Other practice location 1

3120 Princeton Pike
2nd Floor, Suite B
Lawrenceville, NJ 08648-2306
Phone (609) 895-0290

Other names 1

  • Mercer County Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000201 NJ Part B Supplier - Ambulatory Surgical Center 4284603366 Practice locations: Lawrenceville, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mercer County Surgery Center LLCCCN 31C0001139
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
31D0990664Mercer County Surgery Center LLC2A Princess Road, Lawrenceville, NJ 08648Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2 Princess Rd
Ste A
Lawrence Township, NJ 08648

2A Princess Rd
Ste 100
Lawrenceville, NJ 08648
Phone (609) 895-0290

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": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1336112200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2A PRINCESS ROAD",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-895-0290",
            "fax_number": "609-895-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A PRINCESS ROAD",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-895-0290",
            "fax_number": "609-895-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Princeton Pike",
            "address_2": "2nd Floor, Suite B",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086482306",
            "country_code": "US",
            "telephone_number": "609-895-0290",
            "fax_number": "609-895-0291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCER COUNTY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "KLEINBART",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-895-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23047",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer County Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercer County Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.