NPIMap

Organization Active NPI

Orthopaedic and Spine Institute of New Jersey, LLC

Doing business as Paramus Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Paramus, NJ
National Provider Identifier
1548766165
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
22697 Issued in NJ
Legal business name
ORTHOPAEDIC AND SPINE INSTITUTE OF NEW JERSEY, LLC
Doing business as
Paramus Surgical Center
Practice address
30 W Century Rd Ste 300
Paramus, NJ 07652-1435
Phone
(516) 775-8602
NPI assigned
Apr 3, 2018
Last updated
Oct 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Mr. Bruce JacobsonNPI 1912021205
Title
Owner
Phone
(201) 793-8200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 22697 NJ Primary

Addresses

Primary practice location

30 W Century Rd Ste 300
Paramus, NJ 07652-1435

Mailing address

30 W Century Rd Ste 300
Paramus, NJ 07652-1435
Phone (516) 775-8602

Other names 1

  • Paramus Surgical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190624001447 NJ Part B Supplier - Ambulatory Surgical Center 0042544124 Practice locations: Paramus, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548766165. Details of each certification follow.

Ambulatory surgical center certification: CCN 31C0001137

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ORTHOPAEDIC AND SPINE INSTITUTE OF NJ
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jul 26, 2001
Last certification
Sep 6, 2019
Ownership / control type
Proprietary
Facility address
30 West Century Road, Suite 300
Paramus, NJ 07652

National Provider Directory

National Provider Directory

Locations

30 W Century Rd
Ste 300
Paramus, NJ 07652
Phone (201) 793-8200

Practitioners & affiliated clinicians

Practitioners 2

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": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1548766165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD STE 300",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521435",
            "telephone_number": "516-775-8602",
            "fax_number": "201-793-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W CENTURY RD STE 300",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521435",
            "telephone_number": "516-775-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC AND SPINE INSTITUTE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-793-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paramus Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.