AMBULATORY CARE CENTER PA NPI 1528024114

NPI Information

NPI: 1528024114
Provider Name: AMBULATORY CARE CENTER PA
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 31D1051980
Address: 1133 EAST CHESTNUT AVE.
VINELAND, NJ
ZIP 08360
Phone: (856) 507-0800

Map and Directions

Get Directions

NPI Details

AMBULATORY CARE CENTER PA is an ambulatory surgical clinic center in Vineland, NJ. AMBULATORY CARE CENTER PA NPI is 1528024114. The provider is registered as an organization entity type.

The provider's business location address is:

1133 EAST CHESTNUT AVE.
VINELAND, NJ
ZIP 08360
Phone: (856) 507-0800
Fax: (856) 507-0824

The provider's authorized official is Melissa Ritter Hermanson .
The authorized official title is Administrator and has the following contact phone number (856) 507-0800.

The CLIA number assigned to this NPI record is 31D1051980 - 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)
Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)

The enumeration date for this NPI number is 4/24/2006 and was last updated on 6/22/2023.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	22422	NEW JERSEY	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical		NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7594305	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI