Active NPI
Cares Surgicenter LLC
- Ambulatory Surgical Clinic/Center
- New Brunswick, NJ
National Provider Identifier
1629079058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 22695
- Legal business name
- CARES SURGICENTER LLC
- Practice address
- 240 Easton Ave
New Brunswick, NJ 08901-1723 - Phone
- (732) 565-5400
- Fax
- (732) 296-8677
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amelia Korab
- Title
- VP Community Affairs
- Phone
- (732) 745-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 22695 | NJ | Primary |
Addresses
Primary practice location
240 Easton Ave
New Brunswick, NJ 08901-1723
Mailing address
240 Easton Ave
New Brunswick, NJ 08901-1723
Phone (732) 565-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8139407 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100115000839 | NJ | Part B Supplier - Ambulatory Surgical Center | 6800938606 | Practice locations: New Brunswick, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Cares Surgicenter LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0962255 | Cares Surgicenter LLC | Certificate of waiver | Jun 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Cares Ambulatory Surgery Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- New Brunswick, NJ
- NPI 1891857850
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Anesthesiology Physician
- New Brunswick, NJ
- NPI 1427702117
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629079058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 EASTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011723",
"telephone_number": "732-565-5400",
"fax_number": "732-296-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 EASTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011723",
"telephone_number": "732-565-5400",
"fax_number": "732-296-8677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARES SURGICENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KORAB",
"authorized_official_first_name": "AMELIA",
"authorized_official_title_or_position": "VP COMMUNITY AFFAIRS",
"authorized_official_telephone_number": "732-745-8600"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": "22695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8139407",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.