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PERFORMANCE SURGICAL CENTER, LLC
NPI 1639703895
Clinic/Center - Ambulatory Surgical in Clifton, NJ

Active since February 26, 2020CLIA 31D2107299 · Waiver
1084 MAIN AVE FL 2, CLIFTON, NJ 07011(973) 473-4040(516) 775-8618 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 14, 2025, Jul 9, 2021, Feb 26, 2020 (3 updates tracked since 2020).

About Performance Surgical Center, Llc NPPES

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

PERFORMANCE SURGICAL CENTER, LLC (NPI 1639703895) is a healthcare organization registered as an ambulatory surgical in Clifton, New Jersey and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Marvel Scott, Owner, as its authorized official.

NPPES Registry Identity

NPI1639703895
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePERFORMANCE SURGICAL CENTER, LLC
Location Address1084 MAIN AVE FL 2Clifton, NJ 07011-2330
Mailing AddressPo Box 339Park Ridge, NJ 07656-0339 · (201) 799-4010 · Fax (201) 746-9104
Phone(973) 473-4040
Fax(516) 775-8618
Organization SubpartNo
Authorized OfficialMarvel ScottOwner · (212) 203-1835
Enumeration DateFebruary 26, 2020
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1639703895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1084 MAIN AVE FL 2, Clifton, NJ 07011
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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 31D2107299

Performance Surgery Center, LLC · Clifton, NJ
Active · expires Jan 10, 2028
CLIA Number31D2107299
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorJonathan Phillips
Laboratory Phone(973) 473-4040
Laboratory LocationPerformance Surgery Center, LLC1084 Main Avenue 2nd Floor, Clifton, NJ 07011
CLIA data matches this NPI record on: 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.

ANESTHESIA CONSULTANTS OF AMERICA, LLC
Anesthesiology
1084 MAIN AVE FL 2
CLIFTON, NJ 07011
Passaic County (201) 847-8079
VEIN AND PAIN NJ, P.C.
Radiology (Vascular & Interventional Radiology)
1084 MAIN AVE FL 2
CLIFTON, NJ 07011
Passaic County (212) 516-8770

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 Performance Surgical Center, LLC's NPI number?

The NPI number for Performance Surgical Center, LLC is 1639703895. It was assigned to this organization in the NPPES registry on February 26, 2020.

Where is Performance Surgical Center, LLC located?

Performance Surgical Center, LLC is located at 1084 Main Ave Fl 2, Clifton, NJ 07011. The listed phone number is (973) 473-4040.

What is Performance Surgical Center, LLC's specialty?

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

Does Performance Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2107299) is associated with this NPI, valid through January 10, 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 Performance Surgical Center, LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.