NPIMap

Organization Active NPI

Alliance Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hainesport, NJ
National Provider Identifier
1386000529
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
R24898 Issued in NJ
Legal business name
ALLIANCE SURGERY CENTER
Practice address
412 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone
(856) 764-7660
Fax
(856) 764-5723
NPI assigned
Jan 4, 2016
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Chike W Obianwu, MDNPI 1902984909
Title
Owner
Phone
(856) 764-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X R24898 NJ Primary

Addresses

Primary practice location

412 Creek Crossing Blvd
Hainesport, NJ 08036-2768

Mailing address

412 Creek Crossing Blvd
Hainesport, NJ 08036-2768
Phone (856) 764-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386000529. Details of each certification follow.

Ambulatory surgical center certification: CCN 31C0001332

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Alliance Surgery Center, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 7, 2018
Last certification
Feb 15, 2022
Ownership / control type
Proprietary
Facility address
412 Creek Crossing Boulevard
Hainesport, NJ 08036

National Provider Directory

National Provider Directory

Locations

412 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 784-8410

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1386000529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "856-764-7660",
            "fax_number": "856-764-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CREEK CROSSING BLVD",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "856-764-7660",
            "fax_number": "856-764-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "OBIANWU",
        "authorized_official_first_name": "CHIKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-764-7660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "R24898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

Verify at the official NPI Registry.