NPIMap

Organization Active NPI

Ambulatory Surgical Center of New Jersey,LLC

  • Ambulatory Surgical Clinic/Center
  • Edison, NJ
National Provider Identifier
1689627283
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AMBULATORY SURGICAL CENTER OF NEW JERSEY,LLC
Practice address
5 Progress St
Suite 2
Edison, NJ 08820-1102
Phone
(908) 755-9671
Fax
(908) 755-9675
NPI assigned
May 18, 2006
Last updated
Sep 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Dr. Alexander Peter Russoniello, MDNPI 1497847990
Title
President-Executive Board
Phone
(908) 668-4410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5 Progress St
Suite 2
Edison, NJ 08820-1102

Mailing address

5 Progress St
Suite 2
Edison, NJ 08820-1102
Phone (908) 755-9671

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ambulatory Surgical Center of New JerseyllcCCN 31C0001188
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5 Progress St
#2
Edison, NJ 08820
Phone (908) 755-9671

Practitioners & affiliated clinicians

Practitioners 3

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1689627283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PROGRESS ST",
            "address_2": "SUITE 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201102",
            "telephone_number": "908-755-9671",
            "fax_number": "908-755-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PROGRESS ST",
            "address_2": "SUITE 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201102",
            "telephone_number": "908-755-9671",
            "fax_number": "908-755-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGICAL CENTER OF NEW JERSEY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "RUSSONIELLO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT-EXECUTIVE BOARD",
        "authorized_official_telephone_number": "908-668-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.