Active NPI
Physicians Surgicenter LLC
- Ambulatory Surgical Clinic/Center
- Toms River, NJ
National Provider Identifier
1336204668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PHYSICIANS SURGICENTER LLC
- Practice address
- 1 Plaza Dr
Unit 2
Toms River, NJ 08757-3761 - Phone
- (732) 818-0059
- Fax
- (732) 818-9997
- NPI assigned
- Dec 27, 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
- Mr. Alex Sturzebecher, MBA
- Title
- Corporate Compliance Officer
- Phone
- (732) 349-8454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NJ | Primary |
Addresses
Primary practice location
1 Plaza Dr
Unit 2
Toms River, NJ 08757-3761
Mailing address
1 Plaza Dr
Unit 2
Toms River, NJ 08757-3761
Phone (732) 818-0059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100203000010 | NJ | Part B Supplier - Ambulatory Surgical Center | 9335282193 | Practice locations: Toms River, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Physicians Surgicenter 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 |
|---|---|---|---|
| 31D0969530 | Physicians Surgicenter LLC | Certificate of waiver | Jan 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
1 Plaza Dr
Unit 24
Toms River, NJ 08757
Phone (732) 818-0059
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Toms River, NJ
- NPI 1659327898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336204668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PLAZA DR",
"address_2": "UNIT 2",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087573761",
"telephone_number": "732-818-0059",
"fax_number": "732-818-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PLAZA DR",
"address_2": "UNIT 2",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087573761",
"telephone_number": "732-818-0059",
"fax_number": "732-818-9997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS SURGICENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STURZEBECHER",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
"authorized_official_telephone_number": "732-349-8454",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.