{"npi":"1922075969","type":"NPI-2","status":"active","name":{"display":"Saint Mary's Ambulatory Surgery","other":[],"organization_name":"SAINT MARY'S AMBULATORY SURGERY","authorised_official":"Daniel Kim"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"NJ","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"540 BERGEN BLVD","city":"PALISADES PARK","state":"NJ","postal_code":"07650","country_code":"US","phone":"2015852911","fax":"2015852977"},{"purpose":"MAILING","street_1":"540 BERGEN BLVD","city":"PALISADES PARK","state":"NJ","postal_code":"076502322","country_code":"US","phone":"2015852911","fax":"2015852977"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"311186","state":"NJ","issuer":"HORIZON BCBS"},{"type_code":"01","label":"Other","value":"2628993","state":"GA","issuer":"UNITED HEALTHCARE"},{"type_code":"05","label":"Medicaid","value":"0084361","state":"NJ","issuer":null},{"type_code":"01","label":"Other","value":"A3608737","state":"CT","issuer":"OXFORD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20051206000107","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"NJ","pac_id":"8426078478"}]},"enumeration_date":"2006-03-08","last_updated":"2011-08-24","_meta":{"source":"NPPES","snapshot_date":"2011-08-24","doc_url":"https://findmynpi.com/api"}}