Organization Active NPI

Northern Monmouth Regional Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Manalapan, NJ
National Provider Identifier
1962435990
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
24059 Issued in NJ
Legal business name
NORTHERN MONMOUTH REGIONAL SURGERY CENTER LLC
Practice address
195 US Highway 9
Ste 210
Manalapan, NJ 07726-8293
Phone
(732) 358-6500
Fax
(732) 358-6501
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Jonathan Bailey
Title
Officer / Authorized Official
Phone
(203) 609-1168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 24059 NJ Primary

Addresses

Primary practice location

195 US Highway 9
Ste 210
Manalapan, NJ 07726-8293

Mailing address

195 US Highway 9
Ste 210
Manalapan, NJ 07726-8293
Phone (732) 358-6500

Other names 1

  • Center for Bone and Joint Surgery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061012000208 NJ Part B Supplier - Ambulatory Surgical Center 4385640432 Practice locations: Manalapan, NJ

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Center for Bone and Joint Surgery Dba Northern Monmouth Regional Surgery Center LLCCCN 31C0001199
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1962435990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 9",
            "address_2": "STE 210",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268293",
            "telephone_number": "732-358-6500",
            "fax_number": "732-358-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 9",
            "address_2": "STE 210",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268293",
            "telephone_number": "732-358-6500",
            "fax_number": "732-358-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MONMOUTH REGIONAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-609-1168"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "24059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Center for Bone and Joint Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Bone and Joint Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.