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VANGUARD SURGICAL CENTER, LLC.
NPI 1023350907
Clinic/Center - Ambulatory Surgical in Maywood, NJ

Active since March 19, 2013CLIA 31D2058517 · Waiver
113 ESSEX ST, MAYWOOD, NJ 07607(201) 251-7725 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Vanguard Surgical Center, Llc. NPPES

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

VANGUARD SURGICAL CENTER, LLC. (NPI 1023350907) is a healthcare organization registered as an ambulatory surgical in Maywood, New Jersey and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Dante A Implicito, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1023350907
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVANGUARD SURGICAL CENTER, LLC.
Location Address113 ESSEX STMaywood, NJ 07607-1020
Mailing Address113 Essex StMaywood, NJ 07607-1020 · (201) 251-7725
Phone(201) 251-7725
Organization SubpartNo
Authorized OfficialDante A ImplicitoManaging Member · (201) 251-7725
Enumeration DateMarch 19, 2013
Last NPPES UpdateAugust 20, 2013
✔ NPI 1023350907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
113 ESSEX ST, Maywood, NJ 07607
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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 31D2058517

Vanguard Surgical Center, LLC · Maywood, NJ
Active · expires May 7, 2027
CLIA Number31D2058517
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorDante Implicito
Laboratory Phone(201) 851-0802
Laboratory LocationVanguard Surgical Center, LLC113 Essex Street, Suite 100, Maywood, NJ 07607
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Vanguard Surgical Center, LLC.'s NPI number?

The NPI number for Vanguard Surgical Center, LLC. is 1023350907. It was assigned to this organization in the NPPES registry on March 19, 2013.

Where is Vanguard Surgical Center, LLC. located?

Vanguard Surgical Center, LLC. is located at 113 Essex St, Maywood, NJ 07607. The listed phone number is (201) 251-7725.

What is Vanguard Surgical Center, LLC.'s specialty?

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

Does Vanguard Surgical Center, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2058517) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vanguard Surgical Center, LLC. was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.