Active NPI
Linden Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Linden, NJ
National Provider Identifier
1780789024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 31C0001125
- Legal business name
- LINDEN SURGICAL CENTER, LLC
- Practice address
- 210 W Saint Georges Ave Ste 101
Linden, NJ 07036-3900 - Phone
- (908) 587-1888
- Fax
- (908) 587-9545
- NPI assigned
- Sep 13, 2006
- Last updated
- Feb 18, 2019
- 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
- Jeff Brown
- Title
- Practice Administrator
- Phone
- (908) 486-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 31C0001125 | NJ | Primary |
Addresses
Primary practice location
210 W Saint Georges Ave Ste 101
Linden, NJ 07036-3900
Mailing address
210 W Saint Georges Ave Ste 101
Linden, NJ 07036-3900
Phone (908) 587-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040625001030 | NJ | Part B Supplier - Ambulatory Surgical Center | 6901882364 | Practice locations: Linden, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Linden Surgical Center LLC
- 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 |
|---|---|---|---|
| 31D0967412 | Linden Surgical Center, LLC | Certificate of waiver | Nov 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
210 W Saint Georges Ave
Ste 101
Linden, NJ 07036
Phone (908) 587-1888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550448000000",
"number": "1780789024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W SAINT GEORGES AVE STE 101",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070363900",
"telephone_number": "908-587-1888",
"fax_number": "908-587-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W SAINT GEORGES AVE STE 101",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070363900",
"telephone_number": "908-587-1888",
"fax_number": "908-587-9545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDEN SURGICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2019-02-18",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "908-486-1111"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": "31C0001125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.