NPIMap

Organization Active NPI

Somerset Surgical Associates,LLC

  • Vascular Surgery Physician
  • New Brunswick, NJ
National Provider Identifier
1922673128
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SOMERSET SURGICAL ASSOCIATES,LLC
Practice address
303 George St Ste 105
New Brunswick, NJ 08901-2009
Phone
(908) 725-2400
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Obi J Imegwu, MD
Title
Physician
Phone
(908) 725-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

303 George St Ste 105
New Brunswick, NJ 08901-2009

Mailing address

30 Rehill Ave Ste 3400
Somerville, NJ 08876-2548
Phone (908) 927-8987

National Provider Directory

National Provider Directory
Tax ID family
Somerset Surgical Associates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1922673128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REHILL AVE STE 3400",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762548",
            "telephone_number": "908-927-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GEORGE ST STE 105",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012009",
            "telephone_number": "908-725-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET SURGICAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "IMEGWU",
        "authorized_official_first_name": "OBI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-725-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.