Active NPI
Surgical Center of South Jersey Limited Partnership
- Ambulatory Surgical Clinic/Center
- Mount Laurel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Ambulatory Surgical Clinic/Center
- Mount Laurel, NJ
- NPI 1629705231
0547347601
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgical Center of South Jersey
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0664952 | Surgical Center of South Jersey LTD Partnership | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Fellowship Surgical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Mount Laurel, NJ
- NPI 1629705231
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Psychiatric Hospital Unit
- Mount Holly, NJ
- NPI 1174529846
Member Of
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.