ENDO SURGI CENTER OF OLD BRIDGE LLC – NPI #1801987805
Clinic/Center

ENDO SURGI CENTER OF OLD BRIDGE LLC is an AHC clinic located in OLD BRIDGE TOWNSHIP, NJ. NPPES has assigned the NPI number 1801987805 to ENDO SURGI CENTER OF OLD BRIDGE LLC on September 27, 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 previously updated about 15 years ago on Feb 24, 2011. 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 ENDO SURGI CENTER OF OLD BRIDGE LLC below.

NPI Profile for
ENDO SURGI CENTER OF OLD BRIDGE LLC

NPI Number
1801987805
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
ENDO SURGI CENTER OF OLD BRIDGE LLC
Primary location
42 THROCKMORTON LN
OLD BRIDGE TOWNSHIP, NJ 08857-2572
Phone: (732) 679-8808 Fax: (732) 679-7280
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAMIAPPAN MUTHUSAMY
MEDICAL DIRECTOR
Phone: (732) 679-8808
Updated
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)

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.