Oak & Main Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

22341 Issued in NJ

Legal business name

OAK & MAIN SURGICENTER LLC

Practice address

907 N Main Rd
BLDG C
Vineland, NJ 08360-8200

Phone

(856) 692-7228

Fax

(856) 692-4155

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew S Heller, MD, FACS, FCCP, RVT

Title

Owner

Phone

(856) 692-7228

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Inspira Medical Centers, Inc.

  • Emergency Care Clinic/Center
  • Woodbury, NJ
  • NPI 1972141091

  Member Of

  NPD member

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1902863723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N MAIN RD",
            "address_2": "BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608200",
            "telephone_number": "856-692-7228",
            "fax_number": "856-692-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N MAIN RD",
            "address_2": "BLDG C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608200",
            "telephone_number": "856-692-7228",
            "fax_number": "856-692-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK & MAIN SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-692-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS, FCCP, RVT"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "22341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0001425000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL BLUE CROSS BLUE SHIEL",
            "identifier": "311096",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL AETNA INSURANCES",
            "identifier": "962591",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7465203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Anne T Noone, DIETITIAN RD
• Alex Nowasell, D.O.
• Nazia Nowshin, DO
• Nicholas R O'Brien, PT, DPT
• Eileen M O'Connor, M.D.
• Oaks Integrated Care
• Oaks Integrated Care
• Oaks Integrated Care
• Oaks Integrated Care
• Oaks Integrated Care

• Ambulatory Surgical Clinic/Center in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.

Verify at the official NPI Registry.