Organization Active NPI

Endo Surgical Center of East Brunswick LLC

  • Ambulatory Surgical Clinic/Center
  • East Brunswick, NJ
National Provider Identifier
1417242488
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENDO SURGICAL CENTER OF EAST BRUNSWICK LLC
Practice address
41 Arthur St
East Brunswick, NJ 08816-3712
Phone
(973) 591-0184
Fax
(973) 591-0178
NPI assigned
Jun 17, 2011
Last updated
Jun 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Dr. William J. Focazio, M.D.
Title
Medical Director
Phone
(973) 591-0184

Specialties & licenses 1

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

Addresses

Primary practice location

41 Arthur St
East Brunswick, NJ 08816-3712

Mailing address

999 Clifton Ave
Clifton, NJ 07013-2711
Phone (973) 591-0184

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1417242488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132711",
            "telephone_number": "973-591-0184",
            "fax_number": "973-591-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ARTHUR ST",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163712",
            "telephone_number": "973-591-0184",
            "fax_number": "973-591-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDO SURGICAL CENTER OF EAST BRUNSWICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "FOCAZIO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-591-0184",
        "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": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.