MOUNTAIN SURGERY CENTER
NPI 1609390459
Clinic/Center - Ambulatory Surgical in West Orange, NJ
NPI Status: Active since August 02, 2017
Contact Information
375 MOUNT PLEASANT AVE STE 210
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 736-3390
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 31D2024713
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-22-2027
About MOUNTAIN SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Mountain Surgery Center, a provider established in West Orange, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1609390459 assigned on August 2017. The practitioner's primary taxonomy code is 261QA1903X with license number 24393 (NJ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Mountain Surgery Center. The authorized official of this NPI record is Mr. William James Tricoli (Manager)
- NPI
- 1609390459
- Provider Legal Name
- WEST ORANGE SURGICAL CENTER, LLC
- Other Organization Name
- MOUNTAIN SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 375 MOUNT PLEASANT AVE STE 210 WEST ORANGE, NJ 07052
- Location Phone
- (973) 736-3390
- Mailing Address
- 652 PALM SPRINGS DR ALTAMONTE SPRINGS, FL 32701
- Mailing Phone
- (407) 332-9871
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2017
- Last Update Date
- 08-02-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 24393
- License State
- NJ
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of lower or sacral spine facet joint using imaging guidance, single level
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.
This service was performed 54 times for 20 patientsThis 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.
This service was performed 37 times for 15 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2024713
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- May 23, 2025
- Certificate Expiration Date
- May 22, 2027
- Laboratory Director
- DR. SCOTT KATZMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mountain Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609390459, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WEST ORANGE, NJ 07052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609390459, enumerated as an "organization" on August 02, 2017.
The provider is located at 375 MOUNT PLEASANT AVE STE 210 WEST ORANGE, NJ 07052 and the phone number is (973) 736-3390.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
