NEWBRIDGE SURGERY CENTER AT WALDORF
NPI 1710112669
Clinic/Center - Ambulatory Surgical in Waldorf, MD

Q: What is Newbridge Surgery Center At Waldorf's NPI number?

The NPI number for Newbridge Surgery Center At Waldorf is 1710112669. It was assigned to this organization in the NPPES registry on May 21, 2009.

Q: What is Newbridge Surgery Center At Waldorf's specialty?

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

Active since May 21, 2009CLIA 21D2048581 · Waiver

3581 OLD WASHINGTON ROAD, SUITE G, WALDORF, MD 20602(301) 638-4400(301) 638-2200 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Newbridge Surgery Center At Waldorf NPPES

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

NEWBRIDGE SURGERY CENTER AT WALDORF (NPI 1710112669) is a healthcare organization registered as an ambulatory surgical in Waldorf, Maryland and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Mruthyunjaya Gonchigar, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1710112669

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNEWBRIDGE SURGERY CENTER AT WALDORF

Location Address3581 OLD WASHINGTON ROAD, SUITE GWaldorf, MD 20602

Mailing Address196 Thomas Johnson Dr, Suite 215Frederick, MD 21702-4397 · (301) 668-9988 · Fax (301) 668-9977

Phone(301) 638-4400

Fax(301) 638-2200

Organization SubpartNo

Authorized OfficialMruthyunjaya GonchigarOwner/physician · (301) 668-9988

Enumeration DateMay 21, 2009

Last NPPES UpdateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1710112669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

3581 OLD WASHINGTON ROAD, Waldorf, MD 20602

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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 21D2048581

Newbridge Surgery Center At Waldorf, LLC · Waldorf, MD

Active · expires Oct 17, 2026

CLIA Number21D2048581

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 18, 2024

Certificate Expiration DateOctober 17, 2026

Laboratory DirectorDr. Mruthyunjaya Gonchigar

Laboratory Phone(301) 638-4400

Laboratory LocationNewbridge Surgery Center At Waldorf, LLC3581 Old Washington Road, Ste G, Waldorf, MD 20602

CLIA data matches this NPI record on: Address Name Phone

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

Areas of Expertise CMS Part B claims 8

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.

147 services55 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

81 services64 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

38 services27 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.

38 services27 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.

35 services14 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

27 services16 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.

Family Medicine

3581 OLD WASHINGTON ROAD, SUITE D
WALDORF, MD 20602

Charles County (301) 609-5006

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 Newbridge Surgery Center At Waldorf's NPI number?

The NPI number for Newbridge Surgery Center At Waldorf is 1710112669. It was assigned to this organization in the NPPES registry on May 21, 2009.

Where is Newbridge Surgery Center At Waldorf located?

Newbridge Surgery Center At Waldorf is located at 3581 Old Washington Road Suite G, Waldorf, MD 20602. The listed phone number is (301) 638-4400.

What is Newbridge Surgery Center At Waldorf's specialty?

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

Does Newbridge Surgery Center At Waldorf hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2048581) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newbridge Surgery Center At Waldorf was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.