Organization Active NPI

Energy Surgical Consultant, LLC

  • Surgical Physician Assistant
  • Newfoundland, NJ
National Provider Identifier
1962320028
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ENERGY SURGICAL CONSULTANT, LLC
Practice address
12 Clover Rd
Newfoundland, NJ 07435-1712
Phone
(973) 886-6237
NPI assigned
Jul 7, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nicole Garey, MPAS, PA-C
Title
Physician Assistant
Phone
(973) 886-6237

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

12 Clover Rd
Newfoundland, NJ 07435-1712

Mailing address

12 Clover Rd
Newfoundland, NJ 07435-1712
Phone (973) 886-6237

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0718165MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2026.

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1962320028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CLOVER RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351712",
            "telephone_number": "973-886-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CLOVER RD",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351712",
            "telephone_number": "973-886-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY SURGICAL CONSULTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "GAREY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "973-886-6237",
        "authorized_official_credential": "MPAS, PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0718165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newfoundland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.