SURGICAL CENTER AT MILLBURN, LLC
NPI 1114034006
Clinic/Center - Ambulatory Surgical in Millburn, NJ

NPI Status: Active since August 24, 2006

Contact Information

37 E WILLOW ST
MILLBURN, NJ
ZIP 07041
Phone: (973) 912-8111
Fax: (973) 912-0181

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 31D1004005
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-16-2026

About SURGICAL CENTER AT MILLBURN, LLC

This page provides the complete NPI Profile along with additional information for Surgical Center At Millburn, Llc, a provider established in Millburn, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1114034006 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 23110 (NJ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jeffrey E Snodgrass (Pesident)

NPI
1114034006
Provider Name
SURGICAL CENTER AT MILLBURN, LLC
Entity Type
Organization
Location Address
37 E WILLOW ST MILLBURN, NJ 07041
Location Phone
(973) 912-8111
Location Fax
(973) 912-0181
Mailing Address
1A BURTON HILLS BLVD NASHVILLE, TN 37215
Mailing Phone
(615) 240-3741
Mailing Fax
(973) 912-0181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2006
Last Update Date
04-05-2022
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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.
23110
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

JEFFREY E SNODGRASS

Authorized Official Title
PESIDENT
Authorized Official Phone
(615) 665-1283

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
31D1004005
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 17, 2024
Certificate Expiration Date
September 16, 2026
Laboratory Director
WENDY LAMOTTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Surgical Center At Millburn, 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 1114034006, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 1 → 2 0 → 0 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 + 1 + 2 + 4 + 0 + 3 + 8 + 0 + 0 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1114034006.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Specialist
37 E WILLOW ST
MILLBURN, NJ 07041
Specialist
37 E WILLOW ST
MILLBURN, NJ 07041
Clinic/Center (Ambulatory Surgical)
37 E WILLOW ST
MILLBURN, NJ 07041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114034006, enumerated as an "organization" on August 24, 2006.

The provider is located at 37 E WILLOW ST MILLBURN, NJ 07041 and the phone number is (973) 912-8111.

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