Surgical Institute, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL INSTITUTE, LLC

Practice address

3613 Route 33
Neptune, NJ 07753

Phone

(732) 918-0061

Fax

(732) 918-0050

NPI assigned

Jul 5, 2006

Last updated

Jul 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Conzentino

Title

Managing Partner

Phone

(732) 918-0061

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Surgical Institute LLCCCN 31C0001202

Medicare certification status

ActiveFrom the Provider of Services file

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.

• University Orthopaedic Associates LLC

  • Orthopaedic Surgery Physician
  • Princeton, NJ
  • NPI 1194914754

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Dumont Stamos, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Brick, NJ
  • NPI 1669453650
  NPD (past)
• James Patrick Sullivan, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Sea Girt, NJ
  • NPI 1508834151
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1942231204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-918-0061",
            "fax_number": "732-918-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-918-0061",
            "fax_number": "732-918-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "CONZENTINO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "732-918-0061"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Corey Sullivan, MD
• Richard I Sultan, D.O.
• Mary Elizabeth Summerlott, PA
• Sunset ABA, LLC
• Romala Surendran, M.D
• Joseph Sussman, DPM
• Robert E Sussman, DPM
• Arjun Swamy
• Anna Elena Sweany, MD
• Robert Louis Sweeney, D.O

• Ambulatory Surgical Clinic/Center in Neptune, NJ
• Providers in Neptune, 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 Jul 22, 2016; 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.