Organization Active NPI

Retina Consultants Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Little Silver, NJ
National Provider Identifier
1427078930
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RETINA CONSULTANTS SURGERY CENTER
Practice address
39 Sycamore Ave
Little Silver, NJ 07739-1208
Phone
(732) 530-7730
Fax
(732) 530-3837
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Martin Uram, M.D.
Title
Owner
Phone
(732) 530-7730

Specialties & licenses 1

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

Addresses

Primary practice location

39 Sycamore Ave
Little Silver, NJ 07739-1208

Mailing address

39 Sycamore Ave
Little Silver, NJ 07739-1208
Phone (732) 530-7730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121214000166 NJ Part B Supplier - Ambulatory Surgical Center 1254583495 Receives reassigned benefits from 1 practitioner
Practice locations: Little Silver, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Retina Consultants Surgery CenterCCN 31C0001079
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2053563Retina Consultants Surgery Center39 Sycamore Avenue, Little Silver, NJ 07739Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13421/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1427078930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SYCAMORE AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391208",
            "telephone_number": "732-530-7730",
            "fax_number": "732-530-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SYCAMORE AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391208",
            "telephone_number": "732-530-7730",
            "fax_number": "732-530-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "URAM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-530-7730",
        "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 Little Silver, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.