Somerset Surgical Associates,LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOMERSET SURGICAL ASSOCIATES,LLC

Practice address

575 Route 28 # 3107
Raritan, NJ 08869-1354

Phone

(908) 725-2400

Fax

(908) 927-8990

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Obi J ImegwuNPI 1043261001

Title

Physician

Phone

(908) 725-2400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • Somerville, NJ
  • NPI 1538414719

  O20121011000425

  Same enrollment
• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • Hillsborough, NJ
  • NPI 1760183446

  O20121011000425

  Same enrollment

Tax ID family

Somerset Surgical Associates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • Hillsborough, NJ
  • NPI 1760183446
  NPD tax ID
• Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • New Brunswick, NJ
  • NPI 1922673128
  NPD tax ID

Locations

Practitioners 2

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.

• Obi J Imegwu, MD

  • Vascular Surgery Physician
  • Somerville, NJ
  • NPI 1043261001
  Authorized official Same address or phone
• Sarah B Bryczkowski, MD

  • Surgery Physician
  • Somerville, NJ
  • NPI 1427375328
  NPD

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1881157550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REHILL AVE STE 3400",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762548",
            "telephone_number": "908-725-2400",
            "fax_number": "908-927-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ROUTE 28 # 3107",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691354",
            "telephone_number": "908-725-2400",
            "fax_number": "908-927-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 George St Ste 105",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089012009",
            "country_code": "US",
            "telephone_number": "908-725-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Rehill Ave Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088762548",
            "country_code": "US",
            "telephone_number": "908-927-8987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOMERSET SURGICAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "IMEGWU",
        "authorized_official_first_name": "OBI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-725-2400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somerset Home Care and Medical Staffing LLC (BrightStar Care of Somerset)
• Somerset Pediatric Group, LLC
• Somerset Physical Therapy Group, LLC
• Somerset Rehabilitation Services, P.a.
• Somerset Spine & Wellness Group, PC
• Somerville Family Eyecare LLC
• Frederic C. Sterritt, D.M.D
• Mary Beth Stickel, RPH
• Danielle J Streich, LPC
• Greg Strosser

• Surgery Physician in Raritan, NJ
• Providers in Raritan, 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 May 21, 2021; 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.