RIVER DRIVE SURGERY CENTER, LLC
NPI 1649218009
Clinic/Center - Ambulatory Surgical in Elmwood Park, NJ
NPI Status: Active since June 04, 2006
Contact Information
619 RIVER DR FL 1
ELMWOOD PARK, NJ
ZIP 07407
Phone: (201) 703-2900
Fax: (201) 703-5246
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 31D1033391
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 11-08-2026
About RIVER DRIVE SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for River Drive Surgery Center, Llc, a provider established in Elmwood Park, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1649218009 assigned on June 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 22631 (NJ). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1649218009
- Provider Legal Name
- RIVER DRIVE SURGERY CENTER, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 619 RIVER DR FL 1 ELMWOOD PARK, NJ 07407
- Location Phone
- (201) 703-2900
- Location Fax
- (201) 703-5246
- Mailing Address
- 1A BURTON HILLS BLVD STE 300 NASHVILLE, TN 37215
- Mailing Phone
- (615) 240-3741
- Mailing Fax
- (201) 703-5246
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2006
- Last Update Date
- 11-12-2025
- 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.
- 22631
- License State
- NJ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51842 | OTHER (01) | AMERIGROUP VSP 10/25/01 | |
| 8027706 | MEDICAID (05) | NJ | |
| 0003895000 | OTHER (01) | AMERIHEALTH | |
| 006973 | OTHER (01) | EMPIRE BLUE YLD YLK YLA | |
| 2225369 | OTHER (01) | AETNA USHC | |
| 01000333400 | OTHER (01) | AMERICHOICE 9/1/01 | |
| 0103113 | OTHER (01) | GHI NON PAR |
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.
Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye
Complex removal of cataract with insertion of prosthetic lens
Creation of eye fluid drainage tract for treatment of glaucoma
Creation of eye fluid drainage tracts in iris using a laser, per session
Destruction of lens tissue using laser
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
Dilation of fluid outflow drainage within eye
Exploration of cavity behind eye
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye
Incision to improve eye fluid flow
Laser repair to improve eye fluid flow
Plastic repair of tear duct
Removal of cataract with insertion of prosthetic lens
Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye
Removal of over 1/4 of eyelid margin and repair of eyelid
Removal of recurring cataract in lens capsule using a laser
Removal or relocation of corneal conjunctiva with graft
Repair of tendon of upper eyelid
This procedure involves removing a cloudy lens (cataract) from your eye through a larger incision, replacing it with an artificial one. A drainage device is also inserted in the front part of your eye to manage fluid levels, helping maintain eye health.
This service was performed 59 times for 50 patientsThis procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
This service was performed 605 times for 490 patientsThis procedure, aimed at treating glaucoma, involves creating a small pathway in the eye to allow fluid to drain more effectively. This helps to lower eye pressure and prevent damage to the optic nerve, preserving your vision.
This service was performed 13 times for 13 patientsThis procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.
This service was performed 57 times for 35 patientsDestruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.
This service was performed 30 times for 25 patientsDexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
This service was performed 2,501 times for 443 patientsDilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.
This service was performed 200 times for 134 patientsExploration of the cavity behind the eye is a procedure where doctors examine the area at the back of your eye. It's conducted to identify any potential issues like infections, tumors, or injuries. This procedure helps ensure your eye health and overall well-being.
This service was performed 100 times for 59 patientsThis is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
This service was performed 404 times for 268 patientsThis procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
This service was performed 139 times for 97 patientsLaser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
This service was performed 91 times for 60 patientsPlastic repair of the tear duct, also known as dacryocystorhinostomy, is a surgical procedure to create a new pathway for tears to drain from the eye when the natural tear duct is blocked. This helps to reduce symptoms like excessive tearing and infection.
This service was performed 62 times for 37 patientsThis is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
This service was performed 5,011 times for 3,094 patientsThis procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. A laser is then used to reduce fluid production in the eye, helping to lower pressure and improve vision.
This service was performed 40 times for 28 patientsThis procedure involves the removal of more than a quarter of the eyelid margin due to conditions like tumors, infections, or injuries. The remaining part is then repaired to restore normal function and appearance. It's a safe procedure done under local anesthesia.
This service was performed 24 times for 14 patientsThis procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
This service was performed 401 times for 290 patientsThis procedure involves the removal or relocation of the conjunctiva, a thin layer covering the white part of your eye, and replacing it with a graft. This is typically done to treat conditions affecting the eye's surface, improving comfort and vision.
This service was performed 24 times for 22 patientsRepair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
This service was performed 105 times for 59 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
- 31D1033391
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- November 09, 2024
- Certificate Expiration Date
- November 08, 2026
- Laboratory Director
- HADLEY PHILLIPS DO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to River Drive Surgery Center, Llc 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 1649218009, 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649218009, enumerated as an "organization" on June 04, 2006.
The provider is located at 619 RIVER DR FL 1 ELMWOOD PARK, NJ 07407 and the phone number is (201) 703-2900.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.