Organization Active NPI

Surgical Center of South Jersey Limited Partnership

  • Ambulatory Surgical Clinic/Center
  • Mount Laurel, NJ
National Provider Identifier
1689639692
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SURGICAL CENTER OF SOUTH JERSEY LIMITED PARTNERSHIP
Practice address
130 Gaither Dr
Suite 160
Mount Laurel, NJ 08054-1715
Phone
(856) 722-8962
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Julio Viera
Title
Chief Administrative Officer
Phone
(856) 722-7000

Specialties & licenses 1

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

Addresses

Primary practice location

130 Gaither Dr
Suite 160
Mount Laurel, NJ 08054-1715

Mailing address

130 Gaither Dr Ste 160
Mount Laurel, NJ 08054-1715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000530 NJ Part B Supplier - Ambulatory Surgical Center 0547347601 Practice locations: Mount Laurel, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgical Center of South JerseyCCN 31C0001019
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
31D0664952Surgical Center of South Jersey LTD Partnership130 Gaither Drive, Mount Laurel, NJ 08054Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fellowship Surgical Center2 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.

Locations

509 S Lenola Rd
Bldg 11B
Moorestown, NJ 08057
Phone (856) 722-7000

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1689639692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GAITHER DR STE 160",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GAITHER DR",
            "address_2": "SUITE 160",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541715",
            "telephone_number": "856-722-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CENTER OF SOUTH JERSEY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "VIERA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "856-722-7000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.