Surgicare of Freehold Limited Liability Company

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICARE OF FREEHOLD LIMITED LIABILITY COMPANY

Practice address

901 West Main Street
Freehold, NJ 07728-2537

Phone

(786) 251-5741

Fax

(954) 337-0518

NPI assigned

Sep 28, 2011

Last updated

Aug 5, 2015By 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

Dr. John H Hajjar, MD

Title

President/Ceo

Phone

(201) 834-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Surgicare of Freehold LLCCCN 31C0001294

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1801179619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SUITE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523307",
            "telephone_number": "201-834-1100",
            "fax_number": "201-599-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WEST MAIN STREET",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "786-251-5741",
            "fax_number": "954-337-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE OF FREEHOLD LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "HAJJAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "201-834-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunrise Home Services LLC
• Jayna Suoninen
• Supreme Healthcare and Tutoring LLC
• Surf's Up Speech LLC
• Surgical Specialists of Central NJ, LLC
• Salvatore Susino, PA
• Lauren Sutphen, OTR/L
• Linda Swabsin, CRNA
• Kathleen Amy Swayne, MD
• Tara E Sweeney

• 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 Aug 5, 2015; 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.