BRIDGE STREET ASC, LLC
NPI 1154206126
Clinic/Center - Ambulatory Surgical in Brooklyn, NY
About Bridge Street Asc, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGE STREET ASC, LLC (NPI 1154206126) is a healthcare organization registered as an ambulatory surgical in Brooklyn, New York and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Billy Ingram, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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 33D2331218
Bridge Street ASC Management LLC · Brooklyn, NYOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bridge Street ASC, LLC's NPI number?
The NPI number for Bridge Street ASC, LLC is 1154206126. It was assigned to this organization in the NPPES registry on August 8, 2025.
Where is Bridge Street ASC, LLC located?
Bridge Street ASC, LLC is located at 79 Bridge St, Brooklyn, NY 11201. The listed phone number is (718) 568-6699.
What is Bridge Street ASC, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Bridge Street ASC, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2331218) is associated with this NPI, valid through September 28, 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 Bridge Street ASC, LLC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.
# Bridge Street Asc, Llc · NPI 1154206126
Ambulatory Surgical organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since August 8, 2025.
## Identity
- **NPI:** 1154206126 (Entity type: Organization)
- **Enumerated:** August 8, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Billy Ingram, ADMINISTRATOR
## Practice location
- **Address:** 79 BRIDGE ST, Brooklyn, NY 11201-1596
- **Phone:** (718) 568-6699
## Record status
- **NPPES last updated:** August 7, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154206126) · Data from the CMS NPPES public registry.