AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC
NPI 1043384704
Clinic/Center - Ambulatory Surgical in Old Bridge, NJ

NPI Status: Active since November 17, 2006

Contact Information

400 PERRINE RD
SUITE 408
OLD BRIDGE, NJ
ZIP 08857
Phone: (732) 533-9222
Fax: (732) 553-9227

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NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 19, 2024, Nov 11, 2021 (2 updates tracked since 2021).

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 31D0989532
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-18-2027

About AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC

This page provides the complete NPI Profile along with additional information for Ambulatory Surgery Center At Old Bridge Llc, a provider established in Old Bridge, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1043384704 assigned on November 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 22900 (NJ). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Said Samra Md (Authorized Official)

NPI
1043384704
Provider Name
AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC
Entity Type
Organization
Location Address
400 PERRINE RD SUITE 408 OLD BRIDGE, NJ 08857
Location Phone
(732) 533-9222
Location Fax
(732) 553-9227
Mailing Address
400 PERRINE RD SUITE 408 OLD BRIDGE, NJ 08857
Mailing Phone
(732) 533-9222
Mailing Fax
(732) 553-9227
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2006
Last Update Date
06-19-2024
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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
License No.
22900
License State
NJ

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SAID SAMRA MD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(732) 553-9222

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.

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

This service was performed 19 times for 18 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

This service was performed 18 times for 17 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

This service was performed 21 times for 20 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

This service was performed 16 times for 15 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 79 times for 41 patients

Destruction of nerve branches of knee using imaging guidance

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

This service was performed 12 times for 11 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

This service was performed 22 times for 21 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

This service was performed 16 times for 14 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 147 times for 97 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 124 times for 57 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 104 times for 82 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 65 times for 56 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 46 times for 22 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 30 times for 21 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

This service was performed 19 times for 18 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

This service was performed 30 times for 29 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

This service was performed 19 times for 18 patients

CLIA 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
31D0989532
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 19, 2025
Certificate Expiration Date
October 18, 2027
Laboratory Director
SAID SAMRA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ambulatory Surgery Center At Old Bridge 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 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 1043384704, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 4 → 8 3 → 6 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 6 + 8 + 8 + 7 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1043384704.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
400 PERRINE RD, SUITE # 410
OLD BRIDGE, NJ 08857
Dentist (General Practice)
400 PERRINE RD, SUITE 400A
OLD BRIDGE, NJ 08857
Optometrist
400 PERRINE RD, SUITE 400 B
OLD BRIDGE, NJ 08857
Clinic/Center
400 PERRINE RD, SUITE 400 B
OLD BRIDGE, NJ 08857
Dentist (General Practice)
400 PERRINE RD, SUITE 410
OLD BRIDGE, NJ 08857
Dentist
400 PERRINE RD, SUITE 400A
OLD BRIDGE, NJ 08857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043384704, enumerated as an "organization" on November 17, 2006.

The provider is located at 400 PERRINE RD SUITE 408 OLD BRIDGE, NJ 08857 and the phone number is (732) 533-9222.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.