Denville Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

22964 Issued in NJ

Legal business name

DENVILLE SURGERY CENTER, LLC

Practice address

3130 Route 10 West
Ste 200
Denville, NJ 07834-3454

Phone

(973) 328-3475

Fax

(973) 328-3476

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Jonathan Bailey

Title

Officer/Authorized Official

Phone

(203) 609-1168

Specialties & licenses 1

Addresses

Other names 1

• Surgical Center of Northwest Jersey Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Denville Surgery CenterCCN 31C0001150

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 2

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

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1861804585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 ROUTE 10 WEST",
            "address_2": "STE 200",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343454",
            "telephone_number": "973-328-3475",
            "fax_number": "973-328-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 ROUTE 10 WEST",
            "address_2": "STE 200",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343454",
            "telephone_number": "973-328-3475",
            "fax_number": "973-328-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVILLE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-609-1168"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Surgical Center of Northwest Jersey",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgical Center of Northwest Jersey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denville Oral & Maxillofacial Surgeons PA
• Denville Oral & Maxillofacial Surgeons, LLC
• Denville Pediatrics Associates PA
• Denville Physical Therapy, LLC
• Denville Spine & Wellness Center LLC
• Denville Township Boe
• David Dershewitz, M.D.
• Adit M Desai, PHARMD
• Rutikbhai Desai, MD
• Developmental Center for Children and Families

• Ambulatory Surgical Clinic/Center in Denville, NJ
• Providers in Denville, 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 Oct 28, 2024; 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.