Surgicare of Central Jersey, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SURGICARE OF CENTRAL JERSEY, LLC

Practice address

40 Stirling Rd
Watchung, NJ 07069-5900

Phone

(908) 769-0912

NPI assigned

Jul 26, 2006

Last updated

Oct 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Mundy

Title

Chief Administrative Officer

Phone

(908) 769-1354

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Surgicare of Central Jersey LLCCCN 31C0001005

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Virtua - Memorial Hospital Burlington County, Inc

  dba Memorial Hospital of Burlington County - Psychiatry Unit

  • Psychiatric Hospital Unit
  • Mount Holly, NJ
  • NPI 1174529846

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kishori Shah, MD

  • Anesthesiology Physician
  • Watchung, NJ
  • NPI 1225009111
  NPD
• Regina L Pakalnis, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1689645954
  NPD
• Isidore Lee, MD

  • Anesthesiology Physician
  • Warren, NJ
  • NPI 1700826856
  NPD (past)
• Durgesh Mankikar, M.D.

  • Anesthesiology Physician
  • Watchung, NJ
  • NPI 1831116284
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1972526242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD",
            "address_2": "SUITE 205",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-769-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 STIRLING RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695900",
            "telephone_number": "908-769-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICARE OF CENTRAL JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "908-769-1354"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristofer Marius Such, AUDIOLOGIST
• Summit Medical Group PA (CityMD)
• Summit Medical Group PA (CityMD)
• Sunshine Anesthesia Associates LLC
• Surgicare of Central Jersey, LLC
• Kevin Tabije, DO
• Madison Teal, LSW
• Sheridan Jenice Tennant, LPC
• The Place Called Serenity LLC
• The Vip Room

• Clinic/Center in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.