Active NPI
The Eye Surgicenter of New Jersey, LLC
- Ambulatory Surgical Clinic/Center
- Millville, NJ
National Provider Identifier
1821372467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- THE EYE SURGICENTER OF NEW JERSEY, LLC
- Practice address
- 1205 N High St
Millville, NJ 08332-2530 - Phone
- (856) 825-3937
- NPI assigned
- Sep 30, 2011
- 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
- Dr. Gregory H Scimeca, MD
- Title
- Medical Director
- Phone
- (609) 877-2800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1205 N High St
Millville, NJ 08332-2530
Mailing address
225 Sunset Rd
Willingboro, NJ 08046-1109
Phone (609) 877-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120308000402 | NJ | Part B Supplier - Ambulatory Surgical Center | 8325207483 | Practice locations: Millville, NJ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eye Surgicenter of New Jersey
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1205 High St N
Millville, NJ 08332
Phone (609) 825-8700
711 E Main St
Ste 1B
Moorestown, NJ 08057
Phone (609) 235-2448
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Willingboro, NJ
- NPI 1730285651
-
- Ophthalmology Physician
- Willingboro, NJ
- NPI 1700879921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317340800000",
"number": "1821372467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 SUNSET RD",
"city": "WILLINGBORO",
"state": "NJ",
"postal_code": "080461109",
"telephone_number": "609-877-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N HIGH ST",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322530",
"telephone_number": "856-825-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYE SURGICENTER OF NEW JERSEY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A",
"authorized_official_last_name": "SCIMECA",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "609-877-2800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.