Roxbury Surgi Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

22512 Issued in NJ

Legal business name

ROXBURY SURGI CENTER, LLC

Practice address

66 Sunset Strip
Suite101
Succasunna, NJ 07876

Phone

(862) 244-8100

Fax

(862) 244-8101

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Paul Matysek

Title

Ceo

Phone

(862) 244-8100

Specialties & licenses 1

Addresses

Other names 1

• West Morris Surgery Center Doing business as

Listed as

Roxbury Surgi Center LLC Dba West Morris Surgery CenterCCN 31C0001115

Practitioners 1

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

• Robert Cortese Petrucelli, MD, PA

  • Orthopaedic Surgery Physician
  • Succasunna, NJ
  • NPI 1912976267
  NPD

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1366713737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "address_2": "SUITE101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "862-244-8100",
            "fax_number": "862-244-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "address_2": "SUITE101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "862-244-8100",
            "fax_number": "862-244-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY SURGI CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "MATYSEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-244-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Morris Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxbury Imaging LLC
• Roxbury Open MRI and Surgical Center LLC
• Roxbury Open MRI and Surgical Center, LLC
• Roxbury Orthodontics
• Roxbury Pediatric Dentistry
• Roxbury Township Board of Education
• Roxbury Township Health Dept
• Roxbury/Hackettstown Dental
• Mark J Rubinetti, M.D.
• Stephen W Sadow, M.D.

• Ambulatory Surgical Clinic/Center in Succasunna, NJ
• Providers in Succasunna, 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 Apr 25, 2014; 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.