Organization Active NPI

Atlanticare Surgery Center

Doing business as AtlantiCare Surgery Center Ocean County

  • Ambulatory Surgical Clinic/Center
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1952478885
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ATLANTICARE SURGERY CENTER
Doing business as
AtlantiCare Surgery Center Ocean County
Practice address
798 Route 539
Building a Suite 1
Little Egg Harbor TWP, NJ 08087-4203
Phone
(609) 296-1122
Fax
(609) 296-1142
NPI assigned
Nov 29, 2006
Last updated
Feb 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Ms. Kimberly Ann Kirk
Title
Director of Finance
Phone
(609) 407-2553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

798 Route 539
Building a Suite 1
Little Egg Harbor TWP, NJ 08087-4203

Mailing address

798 Route 539
Building a Suite 1
Little Egg Harbor, NJ 08087
Phone (609) 296-1122

Other names 1

  • AtlantiCare Surgery Center Ocean County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000470 NJ Part B Supplier - Ambulatory Surgical Center 7315035680 Practice locations: Little Egg Harbor TWP, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Atlanticare Surgery Center Ocean CountyCCN 31C0001223
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1952478885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 ROUTE 539",
            "address_2": "BUILDING A SUITE 1",
            "city": "LITTLE EGG HARBOR",
            "state": "NJ",
            "postal_code": "08087",
            "telephone_number": "609-296-1122",
            "fax_number": "609-296-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 ROUTE 539",
            "address_2": "BUILDING A SUITE 1",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080874203",
            "telephone_number": "609-296-1122",
            "fax_number": "609-296-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "609-407-2553",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AtlantiCare Surgery Center Ocean County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.