Ambulatory Surgery Center at Virtua Washington Township, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP, L.L.C.

Doing business as

Virtua Center for Surgery

Practice address

239 Hurffville Crosskeys Rd
Sewell, NJ 08080-4001

Phone

(479) 267-2756

NPI assigned

Jul 9, 2009

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Stinchcomb, RN, BSN, CASC

Title

Manager

Phone

(479) 267-2756

Specialties & licenses 1

Addresses

Other names 1

• Virtua Center for Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Ambulatory Surgery Center at Virtua Washington Township LLC Dba Virtua Center for SurgeryCCN 31C0001259

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Virtua - West Jersey Health System, Inc.

  dba Virtua Home Care at West Jersey

  • Home Health Agency
  • Marlton, NJ
  • NPI 1316943004

  Member Of

  NPD member

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.

• Samir V Shah, M.D.

  • Otolaryngology Physician
  • Voorhees, NJ
  • NPI 1821094194
  NPD
• Joann Richichi, D.O.

  • Obstetrics & Gynecology Physician
  • Sewell, NJ
  • NPI 1023088390
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1447489695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11641 CHARLES CT",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308782",
            "telephone_number": "479-267-2756",
            "fax_number": "479-267-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804001",
            "telephone_number": "479-267-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "STINCHCOMB",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-267-2756",
        "authorized_official_credential": "RN, BSN, CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtua Center for Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melisa M Allen
• Erinn Hope Allred
• Stephen P. Altaker, DMD
• Theresa Uchechi Amadi, N.P
• Sarah Ann Amato, PA-C
• America's Best Contacts & Eyeglasses
• Aadi Amin, DMD
• Jill Anastasio
• Laura Anderson, PTA
• Jeffery Thomas Andrews Jr., PT, DPT

• Ambulatory Surgical Clinic/Center in Sewell, NJ
• Providers in Sewell, 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 Nov 23, 2009; 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.