Active NPI
New Jersey Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Mercerville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 23102
- Legal business name
- NEW JERSEY SURGERY CENTER LLC
- Practice address
- 1225 Whitehorse Mercerville Rd
BLDG. D, Ste. 209
Mercerville, NJ 08619-3882 - Phone
- (609) 581-6200
- Fax
- (619) 585-3100
- NPI assigned
- Sep 6, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey E. Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 23102 | NJ | Primary |
Addresses
Primary practice location
1225 Whitehorse Mercerville Rd
BLDG. D, Ste. 209
Mercerville, NJ 08619-3882
Mailing address
1A Burton Hills Blvd # L&
Nashville, TN 37215-6187
Phone (615) 240-3741
Other names 1
- New Jersey Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050311000059 | NJ | Part B Supplier - Ambulatory Surgical Center | 5597719682 | Practice locations: Mercerville, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1026260 | New Jersey Surgery Center LLC | Certificate of waiver | May 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
1225 Whitehorse Mercerville Rd
Bldg D
Mercerville, NJ 08619
Phone (609) 581-6200
1225 Whitehorse Mercerville Rd
Ste D209
Trenton, NJ 08619
1A Burton Hills Blvd
#L
Nashville, TN 37215
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Rancho Palos Verdes, CA
- NPI 1073589248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669939200000",
"number": "1497749436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD # L&",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156187",
"telephone_number": "615-240-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 WHITEHORSE MERCERVILLE RD",
"address_2": "BLDG. D, STE. 209",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086193882",
"telephone_number": "609-581-6200",
"fax_number": "619-585-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-06",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": "23102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Jersey Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mercerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.