NORTH FULLERTON SURGERY CENTER, LLC
NPI 1043271604
Clinic/Center - Ambulatory Surgical in Montclair, NJ
NPI Status: Active since March 31, 2006
Contact Information
37 N FULLERTON AVE
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 233-0433
Fax: (973) 233-0144
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 31D1015218
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 07-27-2027
About NORTH FULLERTON SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for North Fullerton Surgery Center, Llc, a provider established in Montclair, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1043271604 assigned on March 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mrs. Heidi Facchini Rn (Administrator)
- NPI
- 1043271604
- Provider Name
- NORTH FULLERTON SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 37 N FULLERTON AVE MONTCLAIR, NJ 07042
- Location Phone
- (973) 233-0433
- Location Fax
- (973) 233-0144
- Mailing Address
- 37 N FULLERTON AVE MONTCLAIR, NJ 07042
- Mailing Phone
- (973) 233-0433
- Mailing Fax
- (973) 233-0144
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-31-2006
- Last Update Date
- 12-28-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 075982 | MEDICARE ID-TYPE UNSPECIFIED (04) | NJ | MEDICARE NUMBER |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Biopsy or removal of deep lymph nodes of underarm
Partial removal of breast
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
This service was performed 15 times for 15 patientsA partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
This service was performed 37 times for 34 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D1015218
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- July 28, 2025
- Certificate Expiration Date
- July 27, 2027
- Laboratory Director
- ALLEN D. ROSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to North Fullerton Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043271604, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043271604, enumerated as an "organization" on March 31, 2006.
The provider is located at 37 N FULLERTON AVE MONTCLAIR, NJ 07042 and the phone number is (973) 233-0433.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
