CENTENNIAL SURGERY CENTER – NPI #1912909433
Clinic/Center

CENTENNIAL SURGERY CENTER is an AHC clinic located in VOORHEES TOWNSHIP, NJ. NPPES has assigned the NPI number 1912909433 to CENTENNIAL SURGERY CENTER on August 15, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTENNIAL SURGERY CENTER” is a dba name, the actual legal business name for this organization is CENTENNIAL SURGUNIT, LLC. 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 12 years ago on Aug 26, 2014. 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 CENTENNIAL SURGERY CENTER below.

NPI Profile for
CENTENNIAL SURGUNIT, LLC

NPI Number
1912909433
Enumeration Date

(about 21 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
CENTENNIAL SURGUNIT, LLC
Doing Business As (dba): CENTENNIAL SURGERY CENTER
Primary location
502 CENTENNIAL BLVD
SUITE 1
VOORHEES TOWNSHIP, NJ 08043-9544
Phone: (856) 874-0790 Fax: (856) 751-0349
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN BARAINYAK
EXECUTIVE DIRECTOR
Phone: (856) 874-0790
Updated
Identifiers

Identifiers for CENTENNIAL SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ8084009
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 22835

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.