West Orange Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

24393 Issued in NJ

Legal business name

WEST ORANGE SURGICAL CENTER, LLC

Practice address

375 Mount Pleasant Ave Ste 210
West Orange, NJ 07052-2751

Phone

(973) 736-3390

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. William James Tricoli

Title

Manager

Phone

(407) 947-3080

Specialties & licenses 1

Addresses

Other names 1

• Mountain Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

West Orange Surgical Center Dba Mountain Surgery CenterCCN 31C0001288

Medicare certification status

ActiveFrom 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.

• Mark R Schoenfeld, M.D.

  • Anesthesiology Physician
  • Springfield, NJ
  • NPI 1699702019
  Medicare reassignment NPD

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1609390459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 PALM SPRINGS DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017838",
            "telephone_number": "407-332-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MOUNT PLEASANT AVE STE 210",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522751",
            "telephone_number": "973-736-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "TRICOLI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-947-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "24393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Orange First Aid Squad Inc
• West Orange NJ Endoscopy ASC LLC
• West Orange Pediatrics
• West Orange Pharmacy Inc
• West Orange Radiology, LLC
• Courtney Elizabeth West
• Kristen Westra, PT, DPT, OCS
• Grace Wey, MD
• Ellen Jane Whalen, PSY.D
• Matthew Ihn Seong Whang, MD

• Ambulatory Surgical Clinic/Center in West Orange, NJ
• Providers in West Orange, 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 Aug 2, 2017; 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.