SALEM ASC LLC
NPI 1104415702
Clinic/Center - Ambulatory Surgical in Salem, NJ

Q: What is Salem ASC LLC's NPI number?

The NPI number for Salem ASC LLC is 1104415702. It was assigned to this organization in the NPPES registry on January 18, 2021.

Q: What is Salem ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Q: When was this NPI record last updated?

The NPPES record for Salem ASC LLC was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2021CLIA 31D2222929 · Waiver

336 SALEM WOODSTOWN RD, SALEM, NJ 08079(856) 434-7573 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Salem Asc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALEM ASC LLC (NPI 1104415702) is a healthcare organization registered as an ambulatory surgical in Salem, New Jersey and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists William Jude Colgan, Owner/managing Partner, as its authorized official.

NPPES Registry Identity

NPI1104415702

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSALEM ASC LLC

Location Address336 SALEM WOODSTOWN RDSalem, NJ 08079-2027

Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733

Phone(856) 434-7573

Organization SubpartNo

Authorized OfficialWilliam Jude ColganOwner/managing Partner · (856) 434-7573

Enumeration DateJanuary 18, 2021

NPPES CertifiedJanuary 18, 2021

✔ NPI 1104415702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

336 SALEM WOODSTOWN RD, Salem, NJ 08079

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2222929

Salem ASC, LLC · Salem, NJ

Active · expires May 2, 2027

CLIA Number31D2222929

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 3, 2025

Certificate Expiration DateMay 2, 2027

Laboratory DirectorGeorgianne M. Maxwell

Laboratory Phone(856) 848-3440

Laboratory LocationSalem ASC, LLC336 Salem Woodstown Road, Salem, NJ 08079

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

203 services117 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

51 services32 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Salem ASC LLC's NPI number?

The NPI number for Salem ASC LLC is 1104415702. It was assigned to this organization in the NPPES registry on January 18, 2021.

Where is Salem ASC LLC located?

Salem ASC LLC is located at 336 Salem Woodstown Rd, Salem, NJ 08079. The listed phone number is (856) 434-7573.

What is Salem ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Salem ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2222929) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Salem ASC LLC was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.