Muhlenberg ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MUHLENBERG ASC, LLC

Practice address

1280 Randolph Rd
Ste 301
Plainfield, NJ 07060

Phone

(973) 429-7900

Fax

(856) 403-4662

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Georgianne Maxwell

Title

Partner

Phone

(856) 693-7162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Ambulatory surgical center certification: CCN 31C0001363

Legal name

MUHLENBERG ASC, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 3, 2024

Last certification

Nov 15, 2023

Ownership / control type

Proprietary

Facility address

1280 Randolph Road, Suite 301
Plainfield, NJ 07060

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

CLIA laboratory certificates

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1609583137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 RANDOLPH RD",
            "address_2": "STE 301",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "973-429-7900",
            "fax_number": "856-403-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 RANDOLPH RD",
            "address_2": "STE 301",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "973-429-7900",
            "fax_number": "856-403-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHLENBERG ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "GEORGIANNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-693-7162"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindspace Behavioral Health LLC
• Anthony Mongiello Jr.
• Marlene Morgan-Douglas
• Joanne Marie Morin, M.D.
• Morning Star Medical Transport Inc
• Muhlenberg Heart Group
• Muhlenberg Regional Medical Center
• Muhlenberg Regional Medical Center
• Muhlenberg Regional Medical Center, Inc
• Muhlenberg Regional Medical Ctr

• Ambulatory Surgical Clinic/Center in Plainfield, NJ
• Providers in Plainfield, 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 Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.