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AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC
NPI 1811389976
Clinic/Center - Ambulatory Surgical in Englewood, NJ

Active since February 26, 2015CLIA 31D2094294 · Waiver
25 ROCKWOOD PL, SUITE 105, ENGLEWOOD, NJ 07631(917) 678-0079(347) 284-4982 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ambulatory Surgical Center Of Englewood Llc NPPES

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

AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC (NPI 1811389976) is a healthcare organization registered as an ambulatory surgical in Englewood, New Jersey and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Jaime Gabriel Gutierrez, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1811389976
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC
Location Address25 ROCKWOOD PL, SUITE 105Englewood, NJ 07631-4957
Mailing Address2309 Arthur AveBronx, NY 10458-8103 · (347) 284-4500 · Fax (347) 284-4982
Phone(917) 678-0079
Fax(347) 284-4982
Organization SubpartNo
Authorized OfficialJaime Gabriel GutierrezOwner/president · (917) 678-0079
Enumeration DateFebruary 26, 2015
✔ NPI 1811389976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
25 ROCKWOOD PL, Englewood, NJ 07631
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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 31D2094294

Ambulatory Surgical Center Of Englewood, LLC · Englewood, NJ
Active · expires Apr 13, 2027
CLIA Number31D2094294
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorJaime G. Gutierrez
Laboratory Phone(917) 678-0079
Laboratory LocationAmbulatory Surgical Center Of Englewood, LLC25 Rockwood Place, Suite 105, Englewood, NJ 07631
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. KIRK JAY LEVY MD
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, SUITE 110
ENGLEWOOD, NJ 07631
Bergen County (201) 894-5805
RIKKI REDONA RACELA MD
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, #110
ENGLEWOOD, NJ 07631
Bergen County (201) 894-5805
STEVEN J WEISHOLTZ MD
Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Bergen County (201) 568-8130
JEFFREY KOCHER MD
Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Bergen County (201) 568-8130
DR. JAMUNA KANDASAMY RAJASINGHAM M.D.
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Bergen County (201) 894-5805
DR. ARTHUR H. GROSS MD, FACOG
Obstetrics & Gynecology
25 ROCKWOOD PL, SUITE 305
ENGLEWOOD, NJ 07631
Bergen County (201) 894-0003
DR. SAMUEL SUEDE M.D.
Internal Medicine (Cardiovascular Disease)
25 ROCKWOOD PL, SUITE 440
ENGLEWOOD, NJ 07631
Bergen County (201) 568-3690
YUN-BEOM CHOI MD
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, SUITE 110
ENGLEWOOD, NJ 07631
Bergen County (201) 894-5805

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 Ambulatory Surgical Center Of Englewood LLC's NPI number?

The NPI number for Ambulatory Surgical Center Of Englewood LLC is 1811389976. It was assigned to this organization in the NPPES registry on February 26, 2015.

Where is Ambulatory Surgical Center Of Englewood LLC located?

Ambulatory Surgical Center Of Englewood LLC is located at 25 Rockwood Pl Suite 105, Englewood, NJ 07631. The listed phone number is (917) 678-0079.

What is Ambulatory Surgical Center Of Englewood LLC's specialty?

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

Does Ambulatory Surgical Center Of Englewood LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2094294) is associated with this NPI, valid through April 13, 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 Ambulatory Surgical Center Of Englewood LLC was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.