SURGICAL SPECIALTY CENTER OF WESTCHESTER LLC
NPI 1164723011
Clinic/Center - Ambulatory Surgical in Harrison, NY

Q: What is Surgical Specialty Center Of Westchester LLC's specialty?

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

Active since November 09, 2010CLIA 33D2020650 · Waiver

440 MAMARONECK AVE, SUITE 410, HARRISON, NY 10528(914) 777-8400(914) 777-8401 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Surgical Specialty Center Of Westchester Llc NPPES

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

SURGICAL SPECIALTY CENTER OF WESTCHESTER LLC (NPI 1164723011), doing business as Plastic Surgery Center Of Westchester Llc, is a healthcare organization registered as an ambulatory surgical in Harrison, New York and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Samuel Beran, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1164723011

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSURGICAL SPECIALTY CENTER OF WESTCHESTER LLC

Location Address440 MAMARONECK AVE, SUITE 410Harrison, NY 10528-2418

Mailing Address440 Mamaroneck Ave, Suite 410Harrison, NY 10528-2418 · (914) 777-8400 · Fax (914) 777-8401

Phone(914) 777-8400

Fax(914) 777-8401

Organization SubpartNo

Authorized OfficialSamuel BeranManaging Member · (914) 777-8400

Enumeration DateNovember 9, 2010

Last NPPES UpdateAugust 11, 2014

✔ NPI 1164723011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

440 MAMARONECK AVE, Harrison, NY 10528

Open in Google Maps ↗

Other Names 1

Former Legal Business NamePlastic Surgery Center Of Westchester Llc

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgical Specialty Center Of Westchester Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew YorkEnrollment IDO20110802000543Non-DME Part B · Ambulatory Surgical CenterDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Surgical Specialty Center Of Westchester LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lan Phuong Pham, M.D.

Ophthalmology

NPI 1104854983

1825 COMMERCE ST
Yorktown Heights, NY 10598

(914) 772-9983

✔ PECOS21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2020650

Surgical Specialty Center Of Westchester · Harrison, NY

Active · expires Mar 26, 2027

CLIA Number33D2020650

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 4, 2014

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Samuel Beran

Laboratory Phone(914) 777-8400

Laboratory LocationSurgical Specialty Center Of Westchester440 Mamaroneck Ave - Suite 410, Harrison, NY 10528

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 18

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

1,014 services650 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

71 services58 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

48 services32 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

45 services44 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

43 services31 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

32 services32 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

30 services30 patients

Insertion of eye fluid drainage device 66183

The insertion of an eye fluid drainage device is a procedure to manage eye pressure. A small device is placed in the eye to help drain excess fluid, reducing pressure that can damage the optic nerve and lead to vision loss. This procedure is often used for glaucoma treatment.

27 services24 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

26 services13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

26 services26 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

22 services21 patients

Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis 67908

This procedure involves the removal of excess tissue, muscle, and membrane from the eyelid to correct drooping or paralysis. It helps improve vision and appearance. The operation is performed under local or general anesthesia, ensuring patient comfort throughout.

19 services14 patients

Creation of eye fluid drainage tract for treatment of glaucoma with previous scarring 66172

This procedure aims to manage glaucoma by forming a new drainage path for eye fluid. It's specifically for cases where previous scarring exists. By creating this tract, excess fluid can escape, reducing pressure in the eye and helping to preserve vision.

18 services17 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

13 services13 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

12 services12 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

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.

12 services11 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

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.

11 services11 patients

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 Surgical Specialty Center Of Westchester LLC's NPI number?

The NPI number for Surgical Specialty Center Of Westchester LLC is 1164723011. It was assigned to this organization in the NPPES registry on November 9, 2010. The provider was formerly known as Plastic Surgery Center Of Westchester LLC.

Where is Surgical Specialty Center Of Westchester LLC located?

Surgical Specialty Center Of Westchester LLC is located at 440 Mamaroneck Ave Suite 410, Harrison, NY 10528. The listed phone number is (914) 777-8400.

What is Surgical Specialty Center Of Westchester LLC's specialty?

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

Is Surgical Specialty Center Of Westchester LLC enrolled in Medicare?

Yes. Surgical Specialty Center Of Westchester LLC is registered in the Medicare PECOS enrollment system.

When is Surgical Specialty Center Of Westchester LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Ambulatory Surgical Center) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Surgical Specialty Center Of Westchester LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Surgical Specialty Center Of Westchester LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Surgical Specialty Center Of Westchester LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2020650) is associated with this NPI, valid through March 26, 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 Surgical Specialty Center Of Westchester LLC was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.