Barnert Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BARNERT SURGICAL CENTER, LLC

Practice address

680 Broadway
Suite 202
Paterson, NJ 07514-1524

Phone

(973) 782-4117

NPI assigned

Feb 29, 2012

Last updated

Aug 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Rahat

Title

Director

Phone

(973) 970-8655

Specialties & licenses 1

Addresses

Other names 1

• BARNERT SURGICAL CENTER, LLC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790059319. Details of each certification follow.

• CCN 31C0001356 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 31C0001356

Legal name

BARNERT SURGICAL CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 16, 2023

Last certification

Oct 14, 2022

Ownership / control type

Proprietary

Facility address

680 Broadway, Ste 202
Paterson, NJ 07514

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irfan A Alladin, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Parsippany, NJ
  • NPI 1174536114
  Medicare reassignment NPD

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1790059319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "SUITE 202",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141524",
            "telephone_number": "973-782-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "SUITE 202",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141524",
            "telephone_number": "973-782-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNERT SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "RAHAT",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-970-8655"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARNERT SURGICAL CENTER, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Barnert Subacute Rehabilitation Center, LLC
• Stacey Ann Barnes, D.O.
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• Adelaida Female (F) Barr, RN
• Katherine Barrenechea

• Ambulatory Surgical Clinic/Center in Paterson, NJ
• Providers in Paterson, 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 Aug 10, 2021; 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.