MEDICARE: ADVANCED ENDOSCOPY & SURGICAL CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1114965803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ENDOSCOPY & SURGICAL CENTER LLC

Provider Business Mailing Address
First Line	:	1A BURTON HILLS BLVD STE 300
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6153
Country	:	US
Telephone Number	:	615-240-3741
Fax Number	:	615-234-1720

Provider Business Practice Location Address
First Line	:	142 ROUTE 35
Second Line	:	SUITE 101
City	:	EATONTOWN
State	:	NJ
Zip	:	07724-3427
Country	:	US
Telephone Number	:	732-935-0031
Fax Number	:	732-935-0032

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY E. SNODGRASS
Credential	:
Telephone Number	:	615-665-1283

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/26/2025

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