Organization Active NPI

Somerset Outpatient Surgery, LLC

  • Specialist
  • New Brunswick, NJ
National Provider Identifier
1487044889
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA09596800 Issued in NJ
Legal business name
SOMERSET OUTPATIENT SURGERY, LLC
Practice address
303 George St
Suite 105
New Brunswick, NJ 08901-2020
Phone
(732) 846-6101
Fax
(732) 846-1355
NPI assigned
Jan 23, 2015
Organization subpart
Yes
Parent organization
SOMERSET OUTPATIENT SURGERY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Kassia Mrozowski
Title
Office Manager
Phone
(732) 846-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA09596800 NJ Primary

Addresses

Primary practice location

303 George St
Suite 105
New Brunswick, NJ 08901-2020

Mailing address

303 George St
Suite 105
New Brunswick, NJ 08901-2020
Phone (732) 846-6101

Other names 1

  • Raritan Valley Pain Medicine Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Somerset Outpatient Surgery

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1487044889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GEORGE ST",
            "address_2": "SUITE 105",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012020",
            "telephone_number": "732-846-6101",
            "fax_number": "732-846-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GEORGE ST",
            "address_2": "SUITE 105",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012020",
            "telephone_number": "732-846-6101",
            "fax_number": "732-846-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET OUTPATIENT SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMERSET OUTPATIENT SURGERY, LLC",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "MROZOWSKI",
        "authorized_official_first_name": "KASSIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-846-6101"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09596800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raritan Valley Pain Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.