Surgery New Jersey LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGERY NEW JERSEY LLC

Practice address

55 Meadowlands Pkwy
Secaucus, NJ 07094-2977

Phone

(201) 392-3100

NPI assigned

Aug 22, 2025

Organization subpart

No

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

Authorized official

Name

Bao-Ngoc Nasri, MDNPI 1649687211

Title

Ceo/ Owner

Phone

(347) 703-0927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Bao-Ngoc Nasri, MD

  • Surgery Physician
  • Secaucus, NJ
  • NPI 1649687211
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1871471573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 MILLBURN AVE APT 201",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411648",
            "telephone_number": "347-703-0927",
            "fax_number": "973-657-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "201-392-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "NASRI",
        "authorized_official_first_name": "BAO-NGOC",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "347-703-0927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.