Active NPI
Surgical Center at Cedar Knolls LLC
- Ambulatory Surgical Clinic/Center
- Cedar Knolls, NJ
National Provider Identifier
1528104080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 23363
- Legal business name
- SURGICAL CENTER AT CEDAR KNOLLS LLC
- Practice address
- 197 Ridgedale Ave
Cedar Knolls, NJ 07927-2101 - Phone
- (973) 292-0700
- Fax
- (973) 292-0773
- NPI assigned
- Jan 30, 2007
- Last updated
- Aug 22, 2020
- 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
- Ms. Kathryn Anderson, RN, BSN, MHA
- Title
- Administrator
- Phone
- (973) 292-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 23363 | NJ | Primary |
Addresses
Primary practice location
197 Ridgedale Ave
Cedar Knolls, NJ 07927-2101
Mailing address
197 Ridgedale Ave
Cedar Knolls, NJ 07927-2101
Phone (973) 292-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070915000149 | NJ | Part B Supplier - Ambulatory Surgical Center | 4789778150 | Practice locations: Cedar Knolls, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgical Center at Cedar Knolls LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 31D1057284 | Surgical Center at Cedar Knolls LLC | Certificate of waiver | Aug 7, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Bedminster, NJ
- NPI 1467450387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528104080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 RIDGEDALE AVE",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272101",
"telephone_number": "973-292-0700",
"fax_number": "973-292-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 RIDGEDALE AVE",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079272101",
"telephone_number": "973-292-0700",
"fax_number": "973-292-0773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL CENTER AT CEDAR KNOLLS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "973-292-0700",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, BSN, MHA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": "23363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Knolls, NJ
- Judith K Strangio, NP
- Joshua Aaron Strassberg, MD
- Susan Straub Digiacomo, APN
- Martha L Sturvent, PHYSICAL THERAPY
- Sunrise Lifestyle Centers LLC (Sunrise Health Centers)
- Erik Robert Swanson
- Synergy Physical Therapy & Sports Training
- Katherine Szydlowski
- Sapan Nitinbhai Talati, M.D
- Suzanne Tepper, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.