Active NPI
Somerset Outpatient Surgery, LLC
- Specialist
- New Brunswick, NJ
National Provider Identifier
1487044889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA09596800
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
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.
-
- Ambulatory Surgical Clinic/Center
- Somerset, NJ
- NPI 1477695336
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Piscataway, NJ
- NPI 1548255664
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.