Active NPI
Mercer County Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Lawrenceville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 23047
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 31D0990664 | Mercer County Surgery Center LLC | Certificate of waiver | Aug 28, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Psychiatric Hospital Unit
- Mount Holly, NJ
- NPI 1174529846
Member Of
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.
-
- Foot & Ankle Surgery Podiatrist
- Hamilton, NJ
- NPI 1871226027
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.