CENTRAL JERSEY SURGERY CENTER LLC (NPI# 1255361259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255361259 |
| Entity Type | Organization |
| Organization Name | CENTRAL JERSEY SURGERY CENTER LLC |
| Other Organization Name | CENTRAL JERSEY SURGERY CENTER |
| Practice Address |
97 Corbett Way Eatontown NJ 07724-2264 |
| Practice Telephone | 7324602777 |
| Practice Fax Number | 7324602787 |
| Mailing Telephone | 7324602777 |
| Mailing Fax Number | 7324602787 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
22649 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON BLUE CROSS | 311118 | 01 |
| NJ | 8182701 | 05 | |
| NJ | RAILROAD MEDICARE | 490004318 | 01 |
| Other Name | Type Code |
|---|---|
| Central Jersey Surgery Center | Other Name - Individual/Organization |
| Street Address |
97 CORBETT WAY |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-2264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861782591 | Center for Ambulatory and Minimally Invasive Surgery LLC | Clinic/Center | 234 Industrial Way W, Building B, Suite 101, Eatontown, NJ 07724-4244 | 2011-04-14 |
| 1114965803 | Advanced Endoscopy & Surgical Center LLC | Clinic/Center | 142 Route 35, Suite 101, Eatontown, NJ 07724-3427 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811599 | Freedom Surgical Center, LLC | Clinic/Center | 1455 Broad St Ste 100, Bloomfield, NJ 07003-3039 | 2020-11-02 |
| 1477153237 | Jersey Ambulatory & Surgical Partners LLC | Clinic/Center | 1167 Mcbride Ave Ste 4, Woodland Park, NJ 07424-2543 | 2020-10-29 |
| 1144834987 | Center for Special Surgery of Lyndhurst LLC | Clinic/Center | 70 Ridge Rd Fl 2, Lyndhurst, NJ 07071-1216 | 2020-08-31 |
| 1164031118 | Progressive Surgical Center LLC | Clinic/Center | 630 E Palisade Ave Ste 2-100, Englewood, NJ 07632-1842 | 2020-07-27 |
| 1063031862 | Ganchi Plastic Surgery Center LLC | Clinic/Center | 246 Hamburg Tpke Ste 307, Wayne, NJ 07470-2161 | 2020-04-11 |
| 1023642154 | Nova Surgery Center LLC | Clinic/Center | 107 Monmouth Rd Ste 103, West Long Branch, NJ 07764-1021 | 2020-02-27 |
| 1780217034 | Modern Medicine Surgical Center, LLC | Clinic/Center | 633 From Rd, Paramus, NJ 07652-3514 | 2020-02-14 |
| 1629612437 | Asc of New Jersey LLC | Clinic/Center | 5 Progress St Ste 2, Edison, NJ 08820-1102 | 2019-11-05 |
| 1942841143 | Global Surgery Center LLC | Clinic/Center | 680 Kinderkamack Rd Ste 100, Oradell, NJ 07649-1600 | 2019-09-30 |
| 1710440045 | Access Care Physicians of Nj LLC | Clinic/Center | 2401 Morris Ave Ste W-112, Union, NJ 07083-5745 | 2019-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.