SHORE AMBULATORY SURGICAL CENTER, LLC
NPI 1184686164
Clinic/Center - Ambulatory Surgical in Somers Point, NJ

Active since April 05, 2006CLIA 31D1000708 · Waiver
405 BETHEL RD, SOMERS POINT, NJ 08244(609) 601-7601(609) 601-7910 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shore Ambulatory Surgical Center, Llc NPPES

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

SHORE AMBULATORY SURGICAL CENTER, LLC (NPI 1184686164) is a healthcare organization registered as an ambulatory surgical in Somers Point, New Jersey and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists Martha Mckinley, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1184686164
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSHORE AMBULATORY SURGICAL CENTER, LLC
Location Address405 BETHEL RDSomers Point, NJ 08244-2108
Mailing Address405 Bethel RdSomers Point, NJ 08244-2108 · (609) 601-7601 · Fax (609) 601-7910
Fax(609) 601-7910
Organization SubpartNo
Authorized OfficialMartha MckinleyBusiness Manager · (609) 601-7601
Enumeration DateApril 5, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1184686164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NJ · 22962
405 BETHEL RD, Somers Point, NJ 08244

Other Identifiers 4

Other0000895000NJ · Amerihealth Id #
OtherA3199967NJ · Oxford Health Plan Id#
Other001090NJ · Horizon Bc/bs Of Nj
Medicaid1170735NJ

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 31D1000708

Shore Ambulatory Surgery Center · Somers Point, NJ
Active · expires Jun 19, 2028
CLIA Number31D1000708
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorRobert Keddis
Laboratory Phone(609) 601-7601
Laboratory LocationShore Ambulatory Surgery Center405 Bethel Road Bldg B, Somers Point, NJ 08244
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 22

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.
265 services157 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
107 services60 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
62 services25 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
59 services21 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
51 services50 patients
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T
This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.
48 services48 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
405 BETHEL RD
SOMERS POINT, NJ 08244
Anesthesiology
405 BETHEL RD
SOMERS POINT, NJ 08244
Nurse Anesthetist, Certified Registered
405 BETHEL RD
SOMERS POINT, NJ 08244

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 Shore Ambulatory Surgical Center, LLC's NPI number?

The NPI number for Shore Ambulatory Surgical Center, LLC is 1184686164. It was assigned to this organization in the NPPES registry on April 5, 2006.

Where is Shore Ambulatory Surgical Center, LLC located?

Shore Ambulatory Surgical Center, LLC is located at 405 Bethel Rd, Somers Point, NJ 08244. The listed phone number is (609) 601-7601.

What is Shore Ambulatory Surgical Center, LLC's specialty?

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

Does Shore Ambulatory Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1000708) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shore Ambulatory Surgical Center, LLC was last updated on August 22, 2020. 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.