Minimally Invasive Surgery Center, P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MINIMALLY INVASIVE SURGERY CENTER, P.A.

Practice address

1801 New Rd
Linwood, NJ 08221-1036

Phone

(609) 653-3055

Fax

(609) 653-8469

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Burhan Haleem, DONPI 1467740811

Title

Cfo

Phone

(855) 727-2465

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Ra Pain Services PA

  • Interventional Pain Medicine Physician
  • Sewell, NJ
  • NPI 1396802658

  Member Of

  NPD member

Practitioners 1

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

• Burhan Haleem, D.O.

  • Pain Medicine Physician
  • Sewell, NJ
  • NPI 1467740811
  NPD Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1366498347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211036",
            "telephone_number": "609-653-3055",
            "fax_number": "609-653-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211036",
            "telephone_number": "609-653-3055",
            "fax_number": "609-653-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "HALEEM",
        "authorized_official_first_name": "BURHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "855-727-2465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PROVIDER ID",
            "identifier": "0001498000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0535729",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON PROVIDER ID",
            "identifier": "311127",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mending Minds, Healing Hearts, LLC
• Middle Path Psychotherapy LLC
• Elliott L Milgram, DDS
• Jessica Miller
• Logan Nicole Miller, LCSW
• Inua Momodu, MD
• Karla Moody
• Thomas John Mueller, MD
• Charles Thomas Murphy, DPM
• Mark A Murray I, HIS

• Ambulatory Surgical Clinic/Center in Linwood, NJ
• Providers in Linwood, 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 Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.