Organization Active NPI

New Century Spine and Outpatient Surgical Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Paramus, NJ
National Provider Identifier
1437512514
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NEW CENTURY SPINE AND OUTPATIENT SURGICAL INSTITUTE, LLC
Practice address
37 W Century Rd
Suite 106
Paramus, NJ 07652-1466
Phone
(201) 986-1003
Fax
(201) 986-1680
NPI assigned
Apr 5, 2016
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Thomas P Ragukonis, M.D.NPI 1992744312
Title
Managing Member
Phone
(201) 986-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

37 W Century Rd
Suite 106
Paramus, NJ 07652-1466

Mailing address

37 W Century Rd
Suite 106
Paramus, NJ 07652-1466
Phone (201) 986-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161117000862 NJ Part B Supplier - Ambulatory Surgical Center 5799064606 Practice locations: Paramus, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
New Century Spine and Outpatient Surgical InstituteCCN 31C0001329
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

37 W Century Rd
Ste 106
Paramus, NJ 07652
Phone (201) 523-7800

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1437512514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD",
            "address_2": "SUITE 106",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "201-986-1003",
            "fax_number": "201-986-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD",
            "address_2": "SUITE 106",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "201-986-1003",
            "fax_number": "201-986-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CENTURY SPINE AND OUTPATIENT SURGICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "RAGUKONIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-986-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.