SUFFOLK SURGERY CENTER LLC
NPI 1265538151
Clinic/Center - Ambulatory Surgical in Shirley, NY

Active since September 16, 2006CLIA 33D1006566 · Waiver
1500 WILLIAM FLOYD PKWY, SHIRLEY, NY 11967(631) 205-9090 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suffolk Surgery Center Llc NPPES

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

SUFFOLK SURGERY CENTER LLC (NPI 1265538151) is a healthcare organization registered as an ambulatory surgical in Shirley, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Charles A Walters, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265538151
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUFFOLK SURGERY CENTER LLC
Location Address1500 WILLIAM FLOYD PKWYShirley, NY 11967-1800
Mailing Address1500 William Floyd PkwyShirley, NY 11967-1800 · (631) 205-9090
Organization SubpartNo
Authorized OfficialCharles A WaltersAdministrator · (631) 205-9090
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJune 19, 2013
NPI 1265538151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NY · 5151207R
1500 WILLIAM FLOYD PKWY, Shirley, NY 11967

Other Identifiers 2

Medicaid02553208NY
Medicare ID-Type UnspecifiedZ62391NY

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 33D1006566

Suffolk Surgery Center LLC · Shirley, NY
Active · expires Mar 26, 2027
CLIA Number33D1006566
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 25, 2007
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Aaron Avni
Laboratory Phone(631) 205-9090
Laboratory LocationSuffolk Surgery Center LLC1500 William Floyd Parkway, Shirley, NY 11967
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 20

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.

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
1,232 services187 patients
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.
825 services510 patients
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
308 services54 patients
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.
161 services91 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.
121 services96 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
103 services50 patients

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Sleep Disorder Diagnostic)
1500 WILLIAM FLOYD PKWY
SHIRLEY, NY 11967
Ophthalmology
1500 WILLIAM FLOYD PKWY, SUITE 304
SHIRLEY, NY 11967
Speech-Language Pathologist
1500 WILLIAM FLOYD PKWY
EAST YAPHANK, NY 11967
Ophthalmology
1500 WILLIAM FLOYD PKWY, SUITE 304
SHIRLEY, NY 11967
Speech-Language Pathologist
1500 WILLIAM FLOYD PKWY, SUITE 303
EAST YAPHANK, NY 11967
Clinic/Center (Radiology)
1500 WILLIAM FLOYD PKWY
SHIRLEY, NY 11967

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 Suffolk Surgery Center LLC's NPI number?

The NPI number for Suffolk Surgery Center LLC is 1265538151. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Suffolk Surgery Center LLC located?

Suffolk Surgery Center LLC is located at 1500 William Floyd Pkwy, Shirley, NY 11967. The listed phone number is (631) 205-9090.

What is Suffolk Surgery Center LLC's specialty?

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

Does Suffolk Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1006566) 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 Suffolk Surgery Center LLC was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.