Provider Demographics
NPI:1811038045
Name:CENTRAL JERSEY SURGEONS, PA
Entity Type:Organization
Organization Name:CENTRAL JERSEY SURGEONS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIAGGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-722-0030
Mailing Address - Street 1:611 COURTYARD DRIVE, BLDG #600
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4256
Mailing Address - Country:US
Mailing Address - Phone:908-722-0030
Mailing Address - Fax:908-722-8676
Practice Address - Street 1:611 COURTYARD DRIVE, BLDG #600
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4256
Practice Address - Country:US
Practice Address - Phone:908-722-0030
Practice Address - Fax:908-722-8676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2606801Medicaid
NJ2606801Medicaid