PALISADE SURGERY CENTER LLC
NPI 1366557423
Clinic/Center - Ambulatory Surgical in Fort Lee, NJ

Active since August 20, 2006CLIA 31D1075211 · Waiver
1567 PALISADE AVE, 1ST FLOOR, FORT LEE, NJ 07024(201) 585-2388(201) 947-3860 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Palisade Surgery Center Llc NPPES

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

PALISADE SURGERY CENTER LLC (NPI 1366557423) is a healthcare organization registered as an ambulatory surgical in Fort Lee, New Jersey and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Paul Rosenberg, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366557423
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePALISADE SURGERY CENTER LLC
Location Address1567 PALISADE AVE, 1ST FLOORFort Lee, NJ 07024-6923
Mailing Address1567 Palisade Ave, 1st FloorFort Lee, NJ 07024-6923 · (201) 585-2388 · Fax (201) 947-3860
Fax(201) 947-3860
Organization SubpartNo
Authorized OfficialPaul RosenbergMedical Director · (201) 585-2388
Enumeration DateAugust 20, 2006
Last NPPES UpdateApril 16, 2008
NPI 1366557423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1567 PALISADE AVE, Fort Lee, NJ 07024

Other Identifiers 1

Medicare PIN121710NJ

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 31D1075211

Palisade Surgery Center,llc · Fort Lee, NJ
Active · expires Oct 15, 2027
CLIA Number31D1075211
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorPaul H. Rosenberg
Laboratory Phone(201) 585-2388
Laboratory LocationPalisade Surgery Center,llc1567 Palisade Avenue, Fort Lee, NJ 07024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
1567 PALISADE AVE, 2C
FORT LEE, NJ 07024
Dentist (Periodontics)
1567 PALISADE AVE, #2A
FORT LEE, NJ 07024

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 Palisade Surgery Center LLC's NPI number?

The NPI number for Palisade Surgery Center LLC is 1366557423. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Palisade Surgery Center LLC located?

Palisade Surgery Center LLC is located at 1567 Palisade Ave 1st Floor, Fort Lee, NJ 07024. The listed phone number is (201) 585-2388.

What is Palisade Surgery Center LLC's specialty?

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

Does Palisade Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1075211) is associated with this NPI, valid through October 15, 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 Palisade Surgery Center LLC was last updated on April 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.