PENINSULA SURGERY CENTER, LLC (NPI# 1255636213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255636213 |
| Entity Type | Organization |
| Organization Name | PENINSULA SURGERY CENTER, LLC |
| Practice Address |
29 E 29th St Bayonne NJ 07002-4654 |
| Practice Telephone | 9737293276 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | MR. DENNIS I. KELLY (CONTRACTED MANAGER) |
| Authorized Official Telephone | 2016203636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Street Address |
29 E 29TH ST |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820588 | Avenue E Anesthesia Associates | Specialist | 29 E 29th St, Bayonne, NJ 07002-4654 | 2005-06-13 |
| 1770180804 | Bcp Pharmacy LLC | Pharmacy | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-10-01 |
| 1285250274 | Neil Alan Bobenhouse | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-25 |
| 1801412044 | Pak Lik Patrick Yue | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-23 |
| 1609492354 | Parth Patel | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-18 |
| 1053936104 | Mahin Amanullah | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-15 |
| 1962027177 | Khadijah Bilal | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4695 | 2020-06-12 |
| 1669097960 | Neil Sondhi | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-11 |
| 1104441930 | Vashti Wanda Ramphal | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-08 |
| 1669096574 | Andrew Shehata | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| 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 |
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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.