Organization Active NPI

Morristown Surgical Ctr. @ Madison Ave. LLC

  • Endoscopy Clinic/Center
  • Morristown, NJ
National Provider Identifier
1902836299
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
24052 Issued in NJ
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

Updated by the provider on Feb 10, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8536503MedicaidNJ

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.