Active NPI
Morristown Surgical Ctr. @ Madison Ave. LLC
- Endoscopy Clinic/Center
- Morristown, NJ
National Provider Identifier
1902836299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 24052
- Legal business name
- MORRISTOWN SURGICAL CTR. @ MADISON AVE. LLC
- Practice address
- 111 Madison Ave
Suite 401
Morristown, NJ 07960-6097 - Phone
- (973) 971-6970
- NPI assigned
- Jul 3, 2006
- 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
- David Ferguson
- Title
- Vice President
- Phone
- (973) 401-6788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | 24052 | NJ | Primary |
Addresses
Primary practice location
111 Madison Ave
Suite 401
Morristown, NJ 07960-6097
Mailing address
200 The American Rd
Morris Plains, NJ 07950-2449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8536503 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
111 Madison Ave
Ste 412
Morristown, NJ 07960
Phone (973) 971-6852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1902836299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 THE AMERICAN RD",
"city": "MORRIS PLAINS",
"state": "NJ",
"postal_code": "079502449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MADISON AVE",
"address_2": "SUITE 401",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606097",
"telephone_number": "973-971-6970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRISTOWN SURGICAL CTR. @ MADISON AVE. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "973-401-6788"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": "NJ",
"license": "24052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8536503",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.