Center for Ambulatory and Minimally Invasive Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTER FOR AMBULATORY AND MINIMALLY INVASIVE SURGERY LLC

Practice address

234 Industrial Way W
Building B, Suite 101
Eatontown, NJ 07724-4244

Phone

(732) 229-8400

Fax

(732) 358-0217

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gordon D Donald, M.D.

Title

Manager/Medical Director

Phone

(732) 747-7110

Specialties & licenses 1

Addresses

Other names 1

• CAMIS Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Center for Ambulatory and Minimally Invasive Surgery LLCCCN 31C0001284

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.

• Virtua - West Jersey Health System, Inc.

  • Home Health Agency
  • Marlton, NJ
  • NPI 1316943004

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Cencora, M.D.

  • Specialist
  • Marlboro, NJ
  • NPI 1740248160
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1861782591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 INDUSTRIAL WAY W",
            "address_2": "BUILDING B, SUITE 101",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244244",
            "telephone_number": "732-229-8400",
            "fax_number": "732-358-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 INDUSTRIAL WAY W",
            "address_2": "BUILDING B, SUITE 101",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077244244",
            "telephone_number": "732-229-8400",
            "fax_number": "732-358-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AMBULATORY AND MINIMALLY INVASIVE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-747-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Carr
• Ruth Castellano, LPC, NCC
• Marie E Castillo-Chece, LCSW
• Deniz Cayir
• Katherine Celardo
• Center for Vocational Rehab
• Center for Vocational Rehabilitation
• Central Jersey Hand Surgery
• Central Jersey Open Extremity MRI
• Central Jersey Specialty Surgical Associates,LLC

• Ambulatory Surgical Clinic/Center in Eatontown, NJ
• Providers in Eatontown, 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 Nov 16, 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.