Organization Active NPI

Cares Surgicenter LLC

  • Ambulatory Surgical Clinic/Center
  • New Brunswick, NJ
National Provider Identifier
1629079058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
22695 Issued in NJ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8139407MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 31C0001121
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0962255Cares Surgicenter LLC240 Easton Avenue, New Brunswick, NJ 08901Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cares Ambulatory Surgery Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.