Organization Active NPI

Trocki Surgi-Center PA

Doing business as Trocki Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Northfield, NJ
National Provider Identifier
1669539193
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TROCKI SURGI-CENTER PA
Doing business as
Trocki Surgicenter
Practice address
631 Tilton Rd
Northfield, NJ 08225-1219
Phone
(609) 645-3000
Fax
(609) 645-0253
NPI assigned
Jan 3, 2007
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Ira M Trocki, MDNPI 1235296088
Title
Doctor
Phone
(609) 645-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

631 Tilton Rd
Northfield, NJ 08225-1219

Mailing address

631 Tilton Rd
PO Box 865
Northfield, NJ 08225-1219
Phone (609) 645-3000

Other names 1

  • Trocki Surgicenter Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080721000112 NJ Part B Supplier - Ambulatory Surgical Center 7315010618 Receives reassigned benefits from 1 practitioner
Practice locations: Egg Harbor Township, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Trocki Plastic Surgery CenterCCN 31C0001029
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6811 Black Horse Pike
Egg Harbor Township, NJ 08234
Phone (609) 645-3000

631 Tilton Rd
#865
Northfield, NJ 08225
Phone (609) 645-3000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1669539193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 TILTON RD",
            "address_2": "PO BOX 865",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251219",
            "telephone_number": "609-645-3000",
            "fax_number": "609-645-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251219",
            "telephone_number": "609-645-3000",
            "fax_number": "609-645-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROCKI SURGI-CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "TROCKI",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-645-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trocki Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.