Provider Demographics
NPI:1891857850
Name:CARES AMBULATORY SURGERY SERVICES
Entity Type:Organization
Organization Name:CARES AMBULATORY SURGERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-565-5400
Mailing Address - Street 1:240 EASTON AVENUE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-565-5400
Mailing Address - Fax:732-296-8677
Practice Address - Street 1:240 EASTON AVENUE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-565-5400
Practice Address - Fax:732-296-8677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22695261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8139407Medicaid
NJ8139407Medicaid