AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC – NPI #1043384704
Clinic/Center

AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC is an AHC clinic located in OLD BRIDGE TOWNSHIP, NJ. NPPES has assigned the NPI number 1043384704 to AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jun 19, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC below.

NPI Profile for
AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC

NPI Number
1043384704
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC
Primary location
400 PERRINE RD
SUITE 408
OLD BRIDGE TOWNSHIP, NJ 08857-2843
Phone: (732) 533-9222 Fax: (732) 553-9227
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAID SAMRA
AUTHORIZED OFFICIAL
Phone: (732) 553-9222
Updated
Certification Date
Jun 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NJ 22900

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.