SALEM ASC LLC NPI 1104415702

NPI Information

  • NPI: 1104415702
  • Provider Name: SALEM ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 31D2222929
  • Address: 336 SALEM WOODSTOWN RD
    SALEM, NJ
    ZIP 08079
  • Phone: (856) 434-7573

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NPI Details

SALEM ASC LLC is an ambulatory surgical clinic center in Salem, NJ. SALEM ASC LLC NPI is 1104415702. The provider is registered as an organization entity type.

The provider's business location address is:

336 SALEM WOODSTOWN RD
SALEM, NJ
ZIP 08079-027
Phone: (856) 434-7573

The provider's authorized official is William Jude Colgan .
The authorized official title is Owner/managing Partner and has the following contact phone number (856) 434-7573.

The CLIA number assigned to this NPI record is 31D2222929 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)

The enumeration date for this NPI number is 1/18/2021 and was last updated on 1/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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