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HACKENSACK SURGERY CENTER, LLC
NPI 1356510408
Clinic/Center - Ambulatory Surgical in Hackensack, NJ

Active since February 22, 2008CLIA 31D1093533 · Waiver
19 KOTTE PL., HACKENSACK, NJ 07601(201) 996-1921(201) 996-9400 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hackensack Surgery Center, Llc NPPES

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

HACKENSACK SURGERY CENTER, LLC (NPI 1356510408) is a healthcare organization registered as an ambulatory surgical in Hackensack, New Jersey and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Richard Todd Braver, President, as its authorized official.

NPPES Registry Identity

NPI1356510408
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHACKENSACK SURGERY CENTER, LLC
Location Address19 KOTTE PL.Hackensack, NJ 07601
Mailing Address19 Kotte PlHackensack, NJ 07601 · (201) 996-1921 · Fax (201) 996-9400
Phone(201) 996-1921
Fax(201) 996-9400
Organization SubpartNo
Authorized OfficialRichard Todd BraverPresident · (201) 966-1921
Enumeration DateFebruary 22, 2008
Last NPPES UpdateApril 27, 2009
✔ NPI 1356510408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
19 KOTTE PL., Hackensack, NJ 07601
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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 31D1093533

Hackensack Surgery Center, LLC · Hackensack, NJ
Active · expires Apr 5, 2028
CLIA Number31D1093533
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorRichard T. Braver
Laboratory Phone(201) 996-1921
Laboratory LocationHackensack Surgery Center, LLC19 Kotte Place, Hackensack, NJ 07601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hackensack Surgery Center, LLC's NPI number?

The NPI number for Hackensack Surgery Center, LLC is 1356510408. It was assigned to this organization in the NPPES registry on February 22, 2008.

Where is Hackensack Surgery Center, LLC located?

Hackensack Surgery Center, LLC is located at 19 Kotte Pl., Hackensack, NJ 07601. The listed phone number is (201) 996-1921.

What is Hackensack Surgery Center, LLC's specialty?

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

Does Hackensack Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1093533) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hackensack Surgery Center, LLC was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.