Atlanticare Surgery Center Cape May - L.L.C.
Organization Active NPI Ambulatory Surgical Clinic/Center · Cape May Court House, NJ
NPI 1790772226 · NPPES record last updated May 10, 2010
Key facts
- NPI
- 1790772226
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 22447 (NJ)
- Legal business name
- ATLANTICARE SURGERY CENTER CAPE MAY - L.L.C.
- Practice address
- 106 Court House South Dennis Rd
Cape May Court House, NJ 08210-1971 - Phone
- (609) 465-0300
- Fax
- (609) 465-8771
- NPI assigned
- Sep 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Gina Ackerman
- Title
- Director of Finance
- Phone
- (609) 407-2263
Member of 1
Practitioners 1
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Atlanticare Surgery Center Cape May
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0941791 | Atlanticare Surgery Center - Cape May, LLC | Certificate of waiver | Mar 2, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050127000087 | NJ | Part B Supplier - Ambulatory Surgical Center | 8527018571 | Practice locations: Cape May Courthouse, NJ |
National Provider Directory
Locations
106 Court House South Dennis Rd
Bldg 100
Cape May Court House, NJ 08210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 22447 | NJ | Yes |
Addresses
Primary practice location
106 Court House South Dennis Rd
Cape May Court House, NJ 08210-1971
Mailing address
106 Court House South Dennis Rd
Cape May Court House, NJ 08210-1971
Phone (609) 465-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7729688 | Other | AETNA | |
| 0002149000 | Other | NJ | AMERIHEALTH |
| 311103 | Other | NJ | HORIZON BC/BS NJ |
| 087469 | Other | NJ | PROVIDER NUMBER |
Other providers in Cape May Court House, NJ
- Richard J Artymowicz
- Associated Retinal Consultants LLC
- Associated Retinal Consultants, LLC
- Associated Retinal Consultants, LLC
- Associated Retinal Consultants, LLC
- Rafael Attiya
- Charles Atzert
- Audiology Center of NJ
- Jennifer L Auerhahn
- Reinel B Azaula
All providers in Cape May Court House, NJ · Ambulatory Surgical Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.