CORE SURGERY CENTER LLC
NPI 1083131544
Clinic/Center - Ambulatory Surgical in Lyndhurst, NJ

Active since August 25, 2017CLIA 31D2135520 · Waiver
256 STUYVESANT AVENUE, LYNDHURST, NJ 07071(201) 905-1113(201) 255-0102 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Core Surgery Center Llc NPPES

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

CORE SURGERY CENTER LLC (NPI 1083131544) is a healthcare organization registered as an ambulatory surgical in Lyndhurst, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Jagdip Desai, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083131544
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCORE SURGERY CENTER LLC
Location Address256 STUYVESANT AVENUELyndhurst, NJ 07071
Mailing Address256 Stuyvesant AvenueLyndhurst, NJ 07071 · (201) 905-4113 · Fax (201) 255-0102
Fax(201) 255-0102
Organization SubpartNo
Authorized OfficialJagdip DesaiMedical Director · (908) 705-6857
Enumeration DateAugust 25, 2017
NPI 1083131544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
256 STUYVESANT AVENUE, Lyndhurst, NJ 07071

Other Identifiers 1

Medicaid0119288NJ

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 31D2135520

Core Surgery Center, LLC · Lyndhurst, NJ
Active · expires Aug 22, 2027
CLIA Number31D2135520
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorJagdip Desai
Laboratory Phone(201) 905-1113
Laboratory LocationCore Surgery Center, LLC256 Stuyvesant Avenue, Lyndhurst, NJ 07071
CLIA data matches this NPI record on: Address Name Phone
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 Core Surgery Center LLC's NPI number?

The NPI number for Core Surgery Center LLC is 1083131544. It was assigned to this organization in the NPPES registry on August 25, 2017.

Where is Core Surgery Center LLC located?

Core Surgery Center LLC is located at 256 Stuyvesant Avenue, Lyndhurst, NJ 07071. The listed phone number is (201) 905-1113.

What is Core Surgery Center LLC's specialty?

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

Does Core Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2135520) is associated with this NPI, valid through August 22, 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 Core Surgery Center LLC was last updated on August 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.