NPIMap

Organization Active NPI

Advanced Surgical Radiology LLC

  • Surgery Physician
  • Somerset, NJ
National Provider Identifier
1336489913
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVANCED SURGICAL RADIOLOGY LLC
Practice address
49 Veronica Ave
Suite 202
Somerset, NJ 08873-6802
Phone
(732) 640-5316
Fax
(800) 689-2361
NPI assigned
Feb 19, 2013
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Gabrielle Curreri
Title
Practice Admin
Phone
(732) 640-5316

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X 25MA07917500 NJ
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

49 Veronica Ave
Suite 202
Somerset, NJ 08873-6802

Mailing address

49 Veronica Ave
Suite 202
Somerset, NJ 08873-6802
Phone (732) 640-5316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141028000569 NJ Part B Supplier - Clinic/Group Practice 8426279852 Receives reassigned benefits from 10 practitioners
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Member of 1

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

Locations

192 Summerhill Rd
Fl 2
East Brunswick, NJ 08816

2 State Route 27
Edison, NJ 08820
Phone (908) 505-2327

10 Forrestal Rd S
Ste 101
Princeton, NJ 08540
Phone (609) 243-8993

49 Veronica Ave
Ste 202
Somerset, NJ 08873
Phone (732) 246-7600

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1336489913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VERONICA AVE",
            "address_2": "SUITE 202",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736802",
            "telephone_number": "732-640-5316",
            "fax_number": "800-689-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VERONICA AVE",
            "address_2": "SUITE 202",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736802",
            "telephone_number": "732-640-5316",
            "fax_number": "800-689-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "CURRERI",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "732-640-5316"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NJ",
            "license": "25MA07917500",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.