Middlesex Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

24031 Issued in NJ

Legal business name

MIDDLESEX SURGERY CENTER LLC

Practice address

1921 Oak Tree Rd
Edison, NJ 08820-2036

Phone

(732) 494-8800

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Lawrence Chiu

Title

Manager

Phone

(732) 205-8250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Middlesex Surgery CenterCCN 31C0001196

Medicare certification status

Terminated Voluntary: other reason for withdrawal, Sep 30, 2015From the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert I Park, MD

  • Otolaryngology Physician
  • Edison, NJ
  • NPI 1710908595
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1538199799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202036",
            "telephone_number": "732-494-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-205-8250"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "24031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middlesex Infectious Diseases LLC
• Middlesex Medical Group
• Middlesex Pulmonary Associates
• Middlesex Pulmonary Geriatric Associates LLC
• Middlesex Social Daycare LLC
• Vanessa Christine Milano, MD
• Frank Miles, RPH
• Suzi Millar, PSYD
• Andrew John Miller, MD
• Bianca Miller

• Ambulatory Surgical Clinic/Center in Edison, NJ
• Providers in Edison, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.