Organization Active NPI

Surgery Services

  • Surgery Physician
  • Wayne, NJ
National Provider Identifier
1457698805
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGERY SERVICES
Doing business as
Surgery Services, LLC
Practice address
155 Willowbrook Blvd Ste 410
Wayne, NJ 07470-7033
Phone
(973) 826-8080
Fax
(866) 309-3354
NPI assigned
Jan 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Careen E Wilson
Title
Manger
Phone
(973) 894-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X NJ Primary

Addresses

Primary practice location

155 Willowbrook Blvd Ste 410
Wayne, NJ 07470-7033

Mailing address

PO Box 4059
Wayne, NJ 07474-4059
Phone (973) 826-1540

Other identifiers 2

IdentifierTypeStateIssuer
5412579OtherNJUHC
DW5358OtherNJRR MEDICARE

Other names 1

  • Surgery Services, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1457698805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4059",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744059",
            "telephone_number": "973-826-1540",
            "fax_number": "855-834-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILLOWBROOK BLVD STE 410",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707033",
            "telephone_number": "973-826-8080",
            "fax_number": "866-309-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CAREEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "973-894-1263"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "5412579",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DW5358",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.