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NORTH EAST REGIONAL SURGICAL CENTER, LLC
NPI 1124621743
Clinic/Center - Ambulatory Surgical in Paramus, NJ

Active since November 17, 2020CLIA 31D2169230 · Waiver
650 FROM RD, PARAMUS, NJ 07652(551) 284-7220(551) 284-7221 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North East Regional Surgical Center, Llc NPPES

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

NORTH EAST REGIONAL SURGICAL CENTER, LLC (NPI 1124621743) is a healthcare organization registered as an ambulatory surgical in Paramus, New Jersey and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Jonathan Bailey, Officer/ao, as its authorized official.

NPPES Registry Identity

NPI1124621743
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH EAST REGIONAL SURGICAL CENTER, LLC
Location Address650 FROM RDParamus, NJ 07652-3517
Mailing Address633 From RdParamus, NJ 07652-3514 · (551) 284-7220 · Fax (551) 284-7221
Phone(551) 284-7220
Fax(551) 284-7221
Organization SubpartNo
Authorized OfficialJonathan BaileyOfficer/ao · (203) 609-1168
Enumeration DateNovember 17, 2020
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1124621743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
650 FROM RD, Paramus, NJ 07652
Open in Google Maps ↗

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 31D2169230

North East Regional Surgical Center · Paramus, NJ
Active · expires Jul 16, 2027
CLIA Number31D2169230
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorCiro G. Randazzo
Laboratory Phone(551) 284-7220
Laboratory LocationNorth East Regional Surgical Center650 From Road, Paramus, NJ 07653
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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
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.
58 services29 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
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.
27 services12 patients

Other Providers at the Same Location NPPES 20

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

BERNARD FAVARATO PERUTTI AGPCNP
Nurse Practitioner
650 FROM RD, STE 506
PARAMUS, NJ 07652
Bergen County (551) 996-1342
HACKENSACK MERIDIAN IMAGING FROM ROAD
Clinic/Center (Radiology)
650 FROM RD
PARAMUS, NJ 07652
Bergen County (201) 972-8955
TAYLOR WILLIAM NOTTAGE
Physician Assistant
650 FROM RD
PARAMUS, NJ 07652
Bergen County (201) 639-6620
DR. DANIEL ALLAN SEIGERMAN MD
Orthopaedic Surgery (Hand Surgery)
650 FROM RD
PARAMUS, NJ 07652
Bergen County (201) 639-6620
DR. MATTHEW JOHN FATA DO
Internal Medicine (Cardiovascular Disease)
650 FROM RD, STE 508
PARAMUS, NJ 07652
Bergen County (848) 308-5366
CHRISTY KNOTT APN
Nurse Practitioner (Gerontology)
650 FROM RD
PARAMUS, NJ 07652
Bergen County (551) 996-8100
STRATEGIC PRACTICE SOLUTIONS
Durable Medical Equipment & Medical Supplies
650 FROM RD, MACK CALI CENTRE II SUITE 565
PARAMUS, NJ 07652
Bergen County (201) 477-1564
DR. GREGG KLEIN MD
Orthopaedic Surgery
650 FROM RD
PARAMUS, NJ 07652
Bergen County (201) 639-6620

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 East Regional Surgical Center, LLC's NPI number?

The NPI number for North East Regional Surgical Center, LLC is 1124621743. It was assigned to this organization in the NPPES registry on November 17, 2020.

Where is North East Regional Surgical Center, LLC located?

North East Regional Surgical Center, LLC is located at 650 From Rd, Paramus, NJ 07652. The listed phone number is (551) 284-7220.

What is North East Regional Surgical Center, LLC's specialty?

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

Does North East Regional Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2169230) is associated with this NPI, valid through July 16, 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 East Regional Surgical Center, LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.