380 Surgical Services, LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

380 SURGICAL SERVICES, LLC

Practice address

210 Meadowlands Pkwy Ste 5
Secaucus, NJ 07094-2306

Phone

(301) 603-2622

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Evan Hammerman

Title

General Counsel

Phone

(301) 652-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Secaucus Surgical Assistants Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1972158723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 TOWER OAKS BLVD STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524254",
            "telephone_number": "301-603-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEADOWLANDS PKWY STE 5",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942306",
            "telephone_number": "301-603-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "380 SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "HAMMERMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "301-652-4800"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1396095204",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://modernsurgery.com/",
            "affiliation": "Y",
            "affiliationName": "Center for Modern Surgery LLC",
            "address_1": "210 Meadowlands Pkwy Ste 5",
            "city": "Secaucus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070942306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Secaucus Surgical Assistants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Secaucus Surgical Assistants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Secaucus, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.