NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC
NPI 1285944504
Clinic/Center - Ambulatory Surgical in Prince Frederick, MD

Active since October 20, 2010CLIA Certified · 2 labs
80 SHERRY LN STE 101B, PRINCE FREDERICK, MD 20678(410) 414-9229(410) 414-9339 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2025, Jul 21, 2022 (2 updates tracked since 2022).

About Newbridge Surgery Center At Prince Frederick, Llc NPPES

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

NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC (NPI 1285944504) is a healthcare organization registered as an ambulatory surgical in Prince Frederick, Maryland and active in the NPI registry since October 2010. The organization holds 2 active CLIA laboratory certificates and lists Mruthyunjaya Gonchigar, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1285944504
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC
Location Address80 SHERRY LN STE 101BPrince Frederick, MD 20678-3232
Mailing Address196 Thomas Johnson Dr, Suite 215Frederick, MD 21702-4397 · (301) 668-9988 · Fax (301) 668-9977
Fax(410) 414-9339
Organization SubpartNo
Authorized OfficialMruthyunjaya GonchigarSole Owner · (301) 461-6687
Enumeration DateOctober 20, 2010
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
NPI 1285944504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
80 SHERRY LN STE 101B, Prince Frederick, MD 20678

CLIA Laboratory Certificates CMS CLIA 2

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 21D2026051

Newbridge Surgery Center At Prince Frederick, LLC · Prince Frederick, MD
Active · expires Jun 22, 2027
CLIA Number21D2026051
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorDr. Mruthyunjaya Gonchigar
Laboratory Phone(410) 414-9229
Laboratory LocationNewbridge Surgery Center At Prince Frederick, LLC80 Sherry Lane, Suite 101, Prince Frederick, MD 20678
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2021232

Newbridge Surgery Center At Frederick, LLC · Frederick, MD
Active · expires Mar 8, 2027
CLIA Number21D2021232
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorDr. Mruthyunjaya Gonchigar
Laboratory Phone(301) 668-9988
Laboratory LocationNewbridge Surgery Center At Frederick, LLC196 Thomas Johnson Dr Ste 215, Frederick, MD 21702
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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 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.
173 services64 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
95 services75 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.
94 services58 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
74 services35 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
42 services17 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.
21 services19 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 Newbridge Surgery Center At Prince Frederick, LLC's NPI number?

The NPI number for Newbridge Surgery Center At Prince Frederick, LLC is 1285944504. It was assigned to this organization in the NPPES registry on October 20, 2010.

Where is Newbridge Surgery Center At Prince Frederick, LLC located?

Newbridge Surgery Center At Prince Frederick, LLC is located at 80 Sherry Ln Ste 101B, Prince Frederick, MD 20678. The listed phone number is (410) 414-9229.

What is Newbridge Surgery Center At Prince Frederick, LLC's specialty?

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

Does Newbridge Surgery Center At Prince Frederick, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Newbridge Surgery Center At Prince Frederick, LLC was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.