Active NPI
Park Avenue Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Edison, NJ
National Provider Identifier
1881997930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PARK AVENUE SURGERY CENTER, LLC
- Practice address
- 3848 Park Ave
Edison, NJ 08820-2508 - Phone
- (732) 205-8250
- NPI assigned
- Dec 13, 2010
- 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
- Linda Kang
- Title
- Administrator
- Phone
- (732) 205-8250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3848 Park Ave
Edison, NJ 08820-2508
Mailing address
3848 Park Ave
Edison, NJ 08820-2508
Phone (732) 205-8250
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 |
|---|---|---|---|
| 31D2092798 | Park Avenue Surgery Center, LLC | Certificate of waiver | Mar 12, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292198400000",
"number": "1881997930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3848 PARK AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202508",
"telephone_number": "732-205-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 PARK AVE",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202508",
"telephone_number": "732-205-8250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK AVENUE SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-13",
"last_updated": "2010-12-13",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "732-205-8250"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.