NPIMap

Organization Active NPI

Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • Somerville, NJ
National Provider Identifier
1538414719
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SOMERSET SURGICAL ASSOCIATES,LLC
Practice address
30 Rehill Ave
Suite 3400
Somerville, NJ 08876-2500
Phone
(908) 725-2400
Fax
(908) 927-8990
NPI assigned
Jul 13, 2012
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Cynthia Lee, MDNPI 1336191808
Title
President
Phone
(908) 725-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU
Vascular Surgery Physician 2086S0129X NU Primary
Surgical Oncology Physician 2086X0206X NU

Addresses

Primary practice location

30 Rehill Ave
Suite 3400
Somerville, NJ 08876-2500

Mailing address

30 Rehill Ave
Suite 3400
Somerville, NJ 08876-2500
Phone (908) 725-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121011000425 NJ Part B Supplier - Clinic/Group Practice 7315196185 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Hillsborough, NJ; New Brunswick, NJ; Raritan, NJ; Somerville, NJ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1538414719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REHILL AVE",
            "address_2": "SUITE 3400",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762500",
            "telephone_number": "908-725-2400",
            "fax_number": "908-927-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 REHILL AVE",
            "address_2": "SUITE 3400",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762500",
            "telephone_number": "908-725-2400",
            "fax_number": "908-927-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET SURGICAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-725-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.