Organization Active NPI

Physicians Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • Toms River, NJ
National Provider Identifier
1336204668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCCCN 31C0001128
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
31D0969530Physicians Surgicenter LLC1 Plaza Drive, Toms River, NJ 08757Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.