ASC of New Jersey LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ASC OF NEW JERSEY LLC

Practice address

5 Progress St Ste 2
Edison, NJ 08820-1102

Phone

(908) 755-9671

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Jenetha Moran

Title

Authorized Official

Phone

(972) 763-3893

Specialties & licenses 1

Addresses

Other names 1

• AMBULATORY SURGICAL CENTER OF NEW JERSEY Doing business as

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1629612437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 DALLAS PKWY STE 1600",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016491",
            "telephone_number": "972-763-3893",
            "fax_number": "972-692-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PROGRESS ST STE 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201102",
            "telephone_number": "908-755-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMBULATORY SURGICAL CENTER OF NEW JERSEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raichelle J. Arthur
• Pasalai N Aruna, MD
• Aruna Anand Arvadi
• Arvind M Patel
• Maxwell Osahon Asabor
• Yehudit Ash, RD
• Bhargav A Ashier, PHARMD
• Hadia Asif
• Edna Asmah
• Associated Colon & Rectal Surgeons, P.a.

• Ambulatory Surgical Clinic/Center in Edison, NJ
• Providers in Edison, 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 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.