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ENDO SURGI CENTER OF OLD BRIDGE LLC
NPI 1801987805
Clinic/Center - Ambulatory Surgical in Old Bridge, NJ

Active since September 27, 2006
42 THROCKMORTON LN, OLD BRIDGE, NJ 08857(732) 679-8808(732) 679-7280 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Endo Surgi Center Of Old Bridge Llc NPPES

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

ENDO SURGI CENTER OF OLD BRIDGE LLC (NPI 1801987805) is a healthcare organization registered as an ambulatory surgical in Old Bridge, New Jersey and active in the NPI registry since September 2006. The organization lists Samiappan Muthusamy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1801987805
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameENDO SURGI CENTER OF OLD BRIDGE LLC
Location Address42 THROCKMORTON LNOld Bridge, NJ 08857-2572
Mailing Address42 Throckmorton LnOld Bridge, NJ 08857-2572 · (732) 679-8808 · Fax (732) 679-7280
Phone(732) 679-8808
Fax(732) 679-7280
Organization SubpartNo
Authorized OfficialSamiappan MuthusamyMedical Director · (732) 679-8808
Enumeration DateSeptember 27, 2006
Last NPPES UpdateFebruary 24, 2011
✔ NPI 1801987805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
42 THROCKMORTON LN, Old Bridge, NJ 08857
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified034961NJ · Medicare Provider #

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Endo Surgi Center Of Old Bridge Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20121115000547Non-DME Part B · Ambulatory Surgical CenterDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 31D1005333

Endo-Surgi Center Of Old Bridge · Old Bridge, NJ
Expired · Oct 20, 2026
CLIA Number31D1005333
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorBrian Katz
Laboratory Phone(732) 679-8808
Laboratory LocationEndo-Surgi Center Of Old Bridge42 Throckmorton Lane 1st Floor, Old Bridge, NJ 08857
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
487 services486 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
326 services323 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
191 services187 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
62 services62 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
46 services46 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
31 services31 patients

Other Providers at the Same Location NPPES 12

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

CONFUCIUS PLAZA MEDICAL LABORATORY CORP
Clinical Medical Laboratory
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (516) 464-6121
DR. SANJAY AHLAWAT
Nurse Practitioner (Psychiatric/Mental Health)
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-1111
BABAR MIRZA MD
Specialist
42 THROCKMORTON LN, 2ND FLOOR
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-1111
SHELDON ALAN WEINSTEIN ESTATE
General Practice
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 952-3999
A-ONE SLEEP CENTER LLC
Clinic/Center (Sleep Disorder Diagnostic)
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-0005
OLD BRIDGE SLEEP CENTER
Clinic/Center (Sleep Disorder Diagnostic)
42 THROCKMORTON LN
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-0005
SHAUKAT CHAUDHERY MD
Specialist
42 THROCKMORTON LN, 2ND FLOOR
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-1111
CRAIG C PRICE MD
Internal Medicine
42 THROCKMORTON LN, SECOND FLOOR
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-1111

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 Endo Surgi Center Of Old Bridge LLC's NPI number?

The NPI number for Endo Surgi Center Of Old Bridge LLC is 1801987805. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Endo Surgi Center Of Old Bridge LLC located?

Endo Surgi Center Of Old Bridge LLC is located at 42 Throckmorton Ln, Old Bridge, NJ 08857. The listed phone number is (732) 679-8808.

What is Endo Surgi Center Of Old Bridge LLC's specialty?

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

Is Endo Surgi Center Of Old Bridge LLC enrolled in Medicare?

Yes. Endo Surgi Center Of Old Bridge LLC is registered in the Medicare PECOS enrollment system.

When is Endo Surgi Center Of Old Bridge LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Ambulatory Surgical Center) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Endo Surgi Center Of Old Bridge LLC was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.