Organization Active NPI

The Eye Surgicenter of New Jersey, LLC

  • Ambulatory Surgical Clinic/Center
  • Millville, NJ
National Provider Identifier
1821372467
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Dr. Gregory H Scimeca, MDNPI 1730285651
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 JerseyCCN 31C0001012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.