Organization Active NPI

Linden Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Linden, NJ
National Provider Identifier
1780789024
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
31C0001125 Issued in NJ
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCCCN 31C0001125
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
31D0967412Linden Surgical Center, LLC210 West Saint Georges Ave, Linden, NJ 07036Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.