MOUNTAIN SURGERY CENTER
NPI 1609390459
Clinic/Center - Ambulatory Surgical in West Orange, NJ

Q: What is West Orange Surgical Center, LLC's NPI number?

The NPI number for West Orange Surgical Center, LLC is 1609390459. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Mountain Surgery Center.

Q: What is West Orange Surgical Center, LLC's specialty?

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

Active since August 02, 2017CLIA 31D2024713 · Waiver

375 MOUNT PLEASANT AVE STE 210, WEST ORANGE, NJ 07052(973) 736-3390 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mountain Surgery Center NPPES

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

MOUNTAIN SURGERY CENTER (NPI 1609390459) is a healthcare organization registered as an ambulatory surgical in West Orange, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists William James Tricoli, Manager, as its authorized official.

NPPES Registry Identity

NPI1609390459

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameWEST ORANGE SURGICAL CENTER, LLC

Location Address375 MOUNT PLEASANT AVE STE 210West Orange, NJ 07052-2751

Mailing Address652 Palm Springs DrAltamonte Springs, FL 32701-7838 · (407) 332-9871

Phone(973) 736-3390

Organization SubpartNo

Authorized OfficialWilliam James TricoliManager · (407) 947-3080

Enumeration DateAugust 2, 2017

✔ NPI 1609390459 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 NJ · 24393

375 MOUNT PLEASANT AVE STE 210, West Orange, NJ 07052

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Other Names 1

Doing Business AsMountain Surgery Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Surgery Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Schoenfeld, M.D.

Anesthesiology

NPI 1699702019

55 MORRIS AVE SUITE 204
Springfield, NJ 07081

(973) 232-5391

✔ PECOS6.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 31D2024713

Mountain Surgery Center · West Orange, NJ

Active · expires May 22, 2027

CLIA Number31D2024713

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 23, 2025

Certificate Expiration DateMay 22, 2027

Laboratory DirectorDr. Scott Katzman

Laboratory Phone(973) 736-0505

Laboratory LocationMountain Surgery Center375 Mount Pleasant Avenue Suite 210, West Orange, NJ 07052

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

72 services23 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.

48 services15 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.

44 services18 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.

25 services14 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 West Orange Surgical Center, LLC's NPI number?

The NPI number for West Orange Surgical Center, LLC is 1609390459. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Mountain Surgery Center.

Where is West Orange Surgical Center, LLC located?

West Orange Surgical Center, LLC is located at 375 Mount Pleasant Ave Ste 210, West Orange, NJ 07052. The listed phone number is (973) 736-3390.

What is West Orange Surgical Center, LLC's specialty?

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

Is West Orange Surgical Center, LLC enrolled in Medicare?

Yes. West Orange Surgical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Orange Surgical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to West Orange Surgical Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Orange Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2024713) is associated with this NPI, valid through May 22, 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 West Orange Surgical Center, LLC was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.