Active NPI
Gregory Surgical Services LLC
- Ambulatory Surgical Clinic/Center
- Jersey City, NJ
National Provider Identifier
1962409516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 80193
- Legal business name
- GREGORY SURGICAL SERVICES LLC
- Practice address
- 550 Newark Ave
FL 5
Jersey City, NJ 07306-1326 - Phone
- (201) 795-0205
- Fax
- (201) 795-0737
- NPI assigned
- Jun 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amaury Romero
- Title
- Administrator
- Phone
- (201) 795-0205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 80193 | NJ | Primary |
Addresses
Primary practice location
550 Newark Ave
FL 5
Jersey City, NJ 07306-1326
Mailing address
550 Newark Ave
FL 5
Jersey City, NJ 07306-1326
Phone (201) 795-0205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7679807 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962409516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "FL 5",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-795-0205",
"fax_number": "201-795-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 NEWARK AVE",
"address_2": "FL 5",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061326",
"telephone_number": "201-795-0205",
"fax_number": "201-795-0737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY SURGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROMERO",
"authorized_official_first_name": "AMAURY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "201-795-0205",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": "80193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7679807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.