Organization Active NPI

Gastro-Surgi Center of New Jersey

  • Ambulatory Surgical Clinic/Center
  • Mountainside, NJ
National Provider Identifier
1891881926
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GASTRO-SURGI CENTER OF NEW JERSEY
Practice address
1132 Spruce Drive
Mountainside, NJ 07092-2219
Phone
(908) 317-9434
Fax
(908) 317-9433
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Ms. Sharon A Gelardi, RN
Title
Executive Director
Phone
(908) 317-9434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1132 Spruce Drive
Mountainside, NJ 07092-2219

Mailing address

1132 Spruce Drive
Mountainside, NJ 07092-2219
Phone (908) 317-9434

Other identifiers 2

IdentifierTypeStateIssuer
0061590MedicaidNJ
ASC22511OtherNJSTATE LIC AMBULATORY SURG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100104000531 NJ Part B Supplier - Ambulatory Surgical Center 9234125840 Practice locations: Mountainside, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Gastro Surgi Center of New JerseyCCN 31C0001111
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Gastro Surgi Center Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1891881926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 SPRUCE DRIVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922219",
            "telephone_number": "908-317-9434",
            "fax_number": "908-317-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 SPRUCE DRIVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922219",
            "telephone_number": "908-317-9434",
            "fax_number": "908-317-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO-SURGI CENTER OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "GELARDI",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-317-9434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061590",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC AMBULATORY SURG",
            "identifier": "ASC22511",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.