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NORTH FULLERTON SURGERY CENTER, LLC
NPI 1043271604
Clinic/Center - Ambulatory Surgical in Montclair, NJ

Active since March 31, 2006CLIA 31D1015218 · Waiver
37 N FULLERTON AVE, MONTCLAIR, NJ 07042(973) 233-0433(973) 233-0144 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Fullerton Surgery Center, Llc NPPES

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

NORTH FULLERTON SURGERY CENTER, LLC (NPI 1043271604) is a healthcare organization registered as an ambulatory surgical in Montclair, New Jersey and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Heidi Facchini, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043271604
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH FULLERTON SURGERY CENTER, LLC
Location Address37 N FULLERTON AVEMontclair, NJ 07042-3426
Mailing Address37 N Fullerton AveMontclair, NJ 07042-3426 · (973) 233-0433 · Fax (973) 233-0144
Phone(973) 233-0433
Fax(973) 233-0144
Organization SubpartNo
Authorized OfficialHeidi FacchiniAdministrator · (973) 233-0433
Enumeration DateMarch 31, 2006
Last NPPES UpdateDecember 28, 2007
✔ NPI 1043271604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
37 N FULLERTON AVE, Montclair, NJ 07042
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified075982NJ · Medicare Number

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 31D1015218

North Fullerton Surgery Center · Montclair, NJ
Active · expires Jul 27, 2027
CLIA Number31D1015218
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorAllen D. Rosen
Laboratory Phone(973) 233-0433
Laboratory LocationNorth Fullerton Surgery Center37 North Fullerton Avenue, Montclair, NJ 07042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Partial removal of breast 19301
A 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.
53 services51 patients
Biopsy or removal of deep lymph nodes of underarm 38525
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.
18 services18 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA HARTMAN PA-C
Physician Assistant (Surgical)
37 N FULLERTON AVE
MONTCLAIR, NJ 07042
Essex County (973) 233-1933
DR. JENNIFER LYNN GIORDANO ED.D., NCC, LPC
Counselor (Professional)
37 N FULLERTON AVE, C/O THE PLASTIC SURGERY GROUP
MONTCLAIR, NJ 07042
Essex County (973) 233-1933
DR. CHENG OW M.D.
Radiology (Diagnostic Radiology)
37 N FULLERTON AVE
MONTCLAIR, NJ 07042
Essex County (973) 509-1818
ALICIA J SOLTYS P.A.
Physician Assistant (Surgical)
37 N FULLERTON AVE, THE PLASTIC SURGERY GROUP
MONTCLAIR, NJ 07042
Essex County (973) 233-1933
NORTH FULLERTON ANESTHESIA, P.C.
Anesthesiology
37 N FULLERTON AVE
MONTCLAIR, NJ 07042
Essex County (973) 233-0433
AMY WHITE D.O.
Surgery
37 N FULLERTON AVE
MONTCLAIR, NJ 07042
Essex County (973) 509-1818
DR. ALLEN D ROSEN M.D.
Plastic Surgery
37 N FULLERTON AVE, THE PLASTIC SURGERY GROUP
MONTCLAIR, NJ 07042
Essex County (973) 233-1933
DR. VALERIE J ABLAZA MD
Plastic Surgery
37 N FULLERTON AVE, THE PLASTIC SURGERY GROUP
MONTCLAIR, NJ 07042
Essex County (973) 233-1933

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 North Fullerton Surgery Center, LLC's NPI number?

The NPI number for North Fullerton Surgery Center, LLC is 1043271604. It was assigned to this organization in the NPPES registry on March 31, 2006.

Where is North Fullerton Surgery Center, LLC located?

North Fullerton Surgery Center, LLC is located at 37 N Fullerton Ave, Montclair, NJ 07042. The listed phone number is (973) 233-0433.

What is North Fullerton Surgery Center, LLC's specialty?

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

Does North Fullerton Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1015218) is associated with this NPI, valid through July 27, 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 North Fullerton Surgery Center, LLC was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.