Bogdan Surgery Center PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BOGDAN SURGERY CENTER PC

Practice address

112 Professional View Dr BLDG 100
Freehold, NJ 07728-7902

Phone

(732) 577-9126

Fax

(732) 577-9127

NPI assigned

Sep 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sergey Bogdan, M.D.NPI 1700894110

Title

Owner

Phone

(732) 577-9126

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Ambulatory surgical center certification: CCN 31C0001297

Legal name

Bogdan Surgery Center, PC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 22, 2013

Last certification

Jul 12, 2019

Ownership / control type

Proprietary

Facility address

112 Professional View Drive BLDG 100
Freehold, NJ 07728

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Sergey V Bogdan, M.D.

  • Interventional Pain Medicine Physician
  • Brooklyn, NY
  • NPI 1700894110

  NJ

  Medicare reassignment NPD Authorized official
• Wei Jie Zhang, M.D

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1477901585
  NPD

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1780917690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 KEUNE CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041431",
            "telephone_number": "718-265-7700",
            "fax_number": "718-265-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PROFESSIONAL VIEW DR BLDG 100",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287902",
            "telephone_number": "732-577-9126",
            "fax_number": "732-577-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGDAN SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "BOGDAN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-577-9126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bliss Network Management, Inc.
• Melinda Blume
• Heather Marie Blumert, PSYD
• Danielle Elena Blutstein, APN
• Body in Motion Sports & Orthopaedics Inc
• Sheryl Bokey, OTR
• Maarya Bokhari, MD
• Sandra Katarina Bon-Beam, DC
• Melanie Bonavolonta, MS, CCC-SLP
• Thomas P Bonazinga, M.D.

• Ambulatory Surgical Clinic/Center in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.