Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SURGICAL SPECIALTIES OF NEW JERSEY, LLC
NPI 1124304258
Surgery - Vascular Surgery in Mercerville, NJ

Active since November 03, 2011
3100 QUAKERBRIDGE RD STE 2, MERCERVILLE, NJ 08619(609) 584-1560(609) 584-1563 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Surgical Specialties Of New Jersey, Llc NPPES

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

SURGICAL SPECIALTIES OF NEW JERSEY, LLC (NPI 1124304258) is a healthcare organization registered as a vascular surgery in Mercerville, New Jersey and active in the NPI registry since November 2011. The organization lists Sharon J Carney, Billing Rep, as its authorized official.

NPPES Registry Identity

NPI1124304258
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSURGICAL SPECIALTIES OF NEW JERSEY, LLC
Location Address3100 QUAKERBRIDGE RD STE 2Mercerville, NJ 08619-1658
Mailing AddressPo Box 3204Mercerville, NJ 08619-0204 · (609) 584-1560 · Fax (609) 584-1563
Fax(609) 584-1563
Organization SubpartNo
Authorized OfficialSharon J CarneyBilling Rep · (609) 284-2601
Enumeration DateNovember 3, 2011
Last NPPES UpdateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1124304258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in NJ · 25MB06598500
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 25MB06598500 (NJ)
3100 QUAKERBRIDGE RD STE 2, Mercerville, NJ 08619

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgical Specialties Of New Jersey, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Surgical Specialties Of New Jersey, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vascular Surgery
NPI 1881628881
3100 QUAKERBRIDGE RD STE 2
Mercerville, NJ 08619
(609) 584-1560
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Surgical Specialties Of New Jersey, LLC's NPI number?

The NPI number for Surgical Specialties Of New Jersey, LLC is 1124304258. It was assigned to this organization in the NPPES registry on November 3, 2011.

Where is Surgical Specialties Of New Jersey, LLC located?

Surgical Specialties Of New Jersey, LLC is located at 3100 Quakerbridge Rd Ste 2, Mercerville, NJ 08619. The listed phone number is (609) 584-1560.

What is Surgical Specialties Of New Jersey, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Surgical Specialties Of New Jersey, LLC enrolled in Medicare?

Yes. Surgical Specialties Of New Jersey, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgical Specialties Of New Jersey, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Surgical Specialties Of New Jersey, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Surgical Specialties Of New Jersey, LLC was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.