Organization Active NPI

NJ Advanced Surgical Solutions, PC

  • Surgery Physician
  • Freehold, NJ
National Provider Identifier
1770925885
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB08404300 Issued in NJ
Legal business name
NJ ADVANCED SURGICAL SOLUTIONS, PC
Practice address
222 Schanck Rd Ste 200
Freehold, NJ 07728-2974
Phone
(732) 722-5502
Fax
(800) 615-9936
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dr. Val ProkuratNPI 1316109366
Title
President
Phone
(732) 722-5502

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25MB08404300 NJ Primary

Addresses

Primary practice location

222 Schanck Rd Ste 200
Freehold, NJ 07728-2974

Mailing address

222 Schanck Rd Ste 200
Freehold, NJ 07728-2974
Phone (732) 722-5502

Other practice location 1

17 Main St Ste 103
Robbinsville, NJ 08691-1438
Phone (732) 722-5502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130805000120 NJ Part B Supplier - Clinic/Group Practice 0446492474 Receives reassigned benefits from 1 practitioner
Practice locations: Freehold, NJ

National Provider Directory

National Provider Directory

Locations

17 Main St
Ste 103
Robbinsville, NJ 08691
Phone (609) 392-6366

420 Main St
Unit 37
Tennent, NJ 07763

1374 Whitehorse Hamilton Square Rd
Ste 304
Trenton, NJ 08690
Phone (609) 581-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1770925885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD STE 200",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282974",
            "telephone_number": "732-722-5502",
            "fax_number": "800-615-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SCHANCK RD STE 200",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282974",
            "telephone_number": "732-722-5502",
            "fax_number": "800-615-9936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NJ",
            "postal_code": "086911438",
            "country_code": "US",
            "telephone_number": "732-722-5502",
            "fax_number": "800-615-9936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ ADVANCED SURGICAL SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "PROKURAT",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-722-5502",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB08404300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.