Active NPI
Specialty Surgical Center of North Brunswick, LLC
- Ambulatory Surgical Clinic/Center
- North Brunswick, NJ
National Provider Identifier
1821242488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SPECIALTY SURGICAL CENTER OF NORTH BRUNSWICK, LLC
- Practice address
- 1520 US Route 130 Ste 103
North Brunswick, NJ 08902-3145 - Phone
- (732) 422-9900
- Fax
- (732) 422-9901
- NPI assigned
- Nov 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1520 US Route 130 Ste 103
North Brunswick, NJ 08902-3145
Mailing address
1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153
Phone (615) 240-3741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090204000036 | NJ | Part B Supplier - Ambulatory Surgical Center | 5193889228 | Practice locations: North Brunswick, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1095125 | Specialty Surgical Center | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
1520 Route 130
Ste 103
North Brunswick, NJ 08902
Phone (732) 422-9900
1520 US Highway 130
Ste 204
North Brunswick, NJ 08902
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Piscataway, NJ
- NPI 1336231208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1821242488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156153",
"telephone_number": "615-240-3741",
"fax_number": "615-234-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 US ROUTE 130 STE 103",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089023145",
"telephone_number": "732-422-9900",
"fax_number": "732-422-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY SURGICAL CENTER OF NORTH BRUNSWICK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-10",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.