Organization Active NPI

Somerset Outpatient Surgery, LLC

Doing business as Raritan Valley Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Somerset, NJ
National Provider Identifier
1477695336
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in NJ
Legal business name
SOMERSET OUTPATIENT SURGERY, LLC
Doing business as
Raritan Valley Surgery Center
Practice address
100 Franklin Square Dr
Suite 100
Somerset, NJ 08873-4109
Phone
(732) 560-1000
Fax
(732) 560-9990
NPI assigned
Feb 13, 2007
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Mrs. Marcy Sasso, CASC
Title
Administrator
Phone
(732) 560-1000

Specialties & licenses 1

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

Addresses

Primary practice location

100 Franklin Square Dr
Suite 100
Somerset, NJ 08873-4109

Mailing address

100 Franklin Square Dr
Suite 100
Somerset, NJ 08873-4109
Phone (732) 560-1000

Other names 1

  • Raritan Valley Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000517 NJ Part B Supplier - Ambulatory Surgical Center 2466530761 Practice locations: Somerset, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Somerset Outpatient Surgery LLC Dba Raritan Valley Surgery CenterCCN 31C0001243
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
31D1070490Somerset Outpatient Surgery100 Franklin Square Drive, Suite 100, Somerset, NJ 08873Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Locations

100 Franklin Square Dr
Ste 100
Somerset, NJ 08873
Phone (732) 560-1000

100 Franklin Square Dr
Ste 400
Somerset, NJ 08873

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1477695336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FRANKLIN SQUARE DR",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734109",
            "telephone_number": "732-560-1000",
            "fax_number": "732-560-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRANKLIN SQUARE DR",
            "address_2": "SUITE 100",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734109",
            "telephone_number": "732-560-1000",
            "fax_number": "732-560-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET OUTPATIENT SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "SASSO",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "732-560-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raritan Valley Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.