Reliant Surgical Center,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RELIANT SURGICAL CENTER,LLC

Practice address

300B Princeton Hightstown Rd
Ste 101
East Windsor, NJ 08520

Phone

(609) 426-9696

Fax

(609) 426-6996

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Robert Wisser, M.D.NPI 1114069671

Title

Medical Director

Phone

(609) 426-9696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Reliant Surgical Center LLCCCN 31C0001257

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Robert Wisser, M.D.

  • Plastic Surgery Physician
  • East Windsor, NJ
  • NPI 1114069671
  NPD (past) Authorized official
• Matthew J Lynch, MD

  • Plastic and Reconstructive Surgery Physician
  • East Windsor, NJ
  • NPI 1609834704
  NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1356543961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "STE 101",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-426-9696",
            "fax_number": "609-426-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD",
            "address_2": "STE 101",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "08520",
            "telephone_number": "609-426-9696",
            "fax_number": "609-426-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT SURGICAL CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "WISSER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-426-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Rao, M.D.
• Harshav Raval, PHARMD
• Priti Ravishankar, PT
• Nishant P. Reddy
• Sharon Elaine Reid, APN
• Katherine Rendall
• Restore First Health NJ LLC
• Victoria Schaffer Retterholt
• Willaim E Rhoads, MSW,LCSW,LMFT
• Julius Sander Richter, MD

• Ambulatory Surgical Clinic/Center in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.