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PALISADES SURGICAL SUITES, LLC
NPI 1699475368
Surgery in Fort Lee, NJ

Active since March 09, 2023CLIA 31D2278422 · Waiver
1 BRIDGE PLZ N STE 540, FORT LEE, NJ 07024(804) 651-5216 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Apr 23, 2024, Nov 3, 2023 and 1 more (4 updates tracked since 2023).

About Palisades Surgical Suites, Llc NPPES

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

PALISADES SURGICAL SUITES, LLC (NPI 1699475368) is a healthcare organization registered as a surgery in Fort Lee, New Jersey and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Melissa Mcsherry, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1699475368
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePALISADES SURGICAL SUITES, LLC
Location Address1 BRIDGE PLZ N STE 540Fort Lee, NJ 07024-7101
Mailing Address1 Bridge Plz N Ste 540Fort Lee, NJ 07024-7530 · (551) 465-5595 · Fax (551) 465-5592
Phone(804) 651-5216
Organization SubpartNo
Authorized OfficialMelissa McsherryDirector Of Operations · (708) 275-7799
Enumeration DateMarch 9, 2023
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1699475368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
1 BRIDGE PLZ N STE 540, Fort Lee, NJ 07024
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 31D2278422

Palisades Surgical Suites LLC · Fort Lee, NJ
Active · expires Mar 16, 2027
CLIA Number31D2278422
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorKeith P. Johnson
Laboratory Phone(804) 651-5216
Laboratory LocationPalisades Surgical Suites LLC1 Bridge Plaza N Suite 540, Fort Lee, NJ 07024
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Palisades Surgical Suites, LLC's NPI number?

The NPI number for Palisades Surgical Suites, LLC is 1699475368. It was assigned to this organization in the NPPES registry on March 9, 2023.

Where is Palisades Surgical Suites, LLC located?

Palisades Surgical Suites, LLC is located at 1 Bridge Plz N Ste 540, Fort Lee, NJ 07024. The listed phone number is (804) 651-5216.

What is Palisades Surgical Suites, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Palisades Surgical Suites, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2278422) is associated with this NPI, valid through March 16, 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 Palisades Surgical Suites, LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.