Provider Type Icon

SPECIALIZED SURGICAL CENTER OF CENTRAL NEW JERSEY LLC NPI 1780630251


NPI Information

NPI: 1780630251
Provider Name: SPECIALIZED SURGICAL CENTER OF CENTRAL NEW JERSEY, LLC

Former Legal Business Name: SOMERSET EYE INSTITUTE, PC

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

CLIA Number: 31D0124018

Address:
41 ARTHUR ST
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 828-5900
Get Directions

SPECIALIZED SURGICAL CENTER OF CENTRAL NEW JERSEY, LLC is an ophthalmologic surgery clinic center in East Brunswick, NJ. SPECIALIZED SURGICAL CENTER OF CENTRAL NEW JERSEY, LLC NPI is 1780630251. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Somerset Eye Institute, Pc.

The provider's business location address is:

41 ARTHUR ST
EAST BRUNSWICK, NJ
ZIP 08816-712
Phone: (732) 828-5900
Fax: (732) 828-0290

The provider's authorized official is Stephen J Gordon .
The authorized official title is President and has the following contact phone number (732) 828-5900.

The CLIA number assigned to this NPI record is 31D0124018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 11/24/2020.


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
1261QS0132XClinic/CenterOphthalmologic SurgeryYes

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
1311071OTHERNEW JERSEYHORIZON BC ID NUMBER
27465505MEDICAIDNEW 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: 5/5/2024

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.