# SURGICAL SPECIALTIES OF NEW JERSEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124304258
- **Authorized official:** SHARON J CARNEY (BILLING REP)
- **Authorized official phone:** (609) 284-2601

## Contact information

- **Practice address:** 3100 QUAKERBRIDGE RD STE 2, MERCERVILLE, NJ 08619-1658
- **Practice address phone:** (609) 584-1560
- **Practice address fax:** (609) 584-1563
- **Mailing address:** PO BOX 3204, MERCERVILLE, NJ 08619-0204
- **Mailing address phone:** (609) 584-1560
- **Mailing address fax:** (609) 584-1563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 25MB06598500 | NJ | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 25MB06598500 | NJ | — |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 10/08/2026
