Organization Active NPI

Qualified Surgical Services PLLC

Doing business as QSS Washington

  • Surgery Physician
  • Lacey, WA
National Provider Identifier
1770997603
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
QUALIFIED SURGICAL SERVICES PLLC
Doing business as
QSS Washington
Practice address
3697 Cameron Dr NE
Lacey, WA 98516
Phone
(973) 894-1263
Fax
(888) 972-3703
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Barry A Cohen, MDNPI 1073551800
Title
MBR
Phone
(973) 826-8285

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: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3697 Cameron Dr NE
Lacey, WA 98516

Mailing address

695 US Highway 46
Suite 400a
Fairfield, NJ 07004-1592
Phone (973) 826-8080

Other names 1

  • QSS WASHINGTON Doing business as

National Provider Directory

National Provider Directory

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": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1770997603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 US HIGHWAY 46",
            "address_2": "SUITE 400A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041592",
            "telephone_number": "973-826-8080",
            "fax_number": "866-309-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3697 CAMERON DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98516",
            "telephone_number": "973-894-1263",
            "fax_number": "888-972-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIFIED SURGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "973-826-8285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QSS WASHINGTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.