Active NPI
Ambulatory Surgical Center at Basking Ridge
- Ambulatory Surgical Clinic/Center
- Basking Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- AMBULATORY SURGICAL CENTER AT BASKING RIDGE
- Practice address
- 140 Allen Rd
Basking Ridge, NJ 07920-2976 - Phone
- (908) 350-7869
- Fax
- (973) 290-8370
- NPI assigned
- Jul 17, 2014
- Last updated
- Jul 17, 2014
- 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. Paul Bergh, MD
- Title
- Director
- Phone
- (908) 350-7869
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
140 Allen Rd
Basking Ridge, NJ 07920-2976
Mailing address
140 Allen Rd
Basking Ridge, NJ 07920-2976
Phone (908) 350-7869
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2078644 | Ambulatory Surgical Center at Basking Ridge, LLC | Certificate of waiver | Jun 1, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Reproductive Endocrinology Physician
- Basking Ridge, NJ
- NPI 1639103468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405555200000",
"number": "1881001212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ALLEN RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202976",
"telephone_number": "908-350-7869",
"fax_number": "973-290-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ALLEN RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202976",
"telephone_number": "908-350-7869",
"fax_number": "973-290-8370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY SURGICAL CENTER AT BASKING RIDGE",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A",
"authorized_official_last_name": "BERGH",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "908-350-7869",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Basking Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.