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

NPI Status: Active since February 26, 2015

Contact Information

25 ROCKWOOD PL
SUITE 105
ENGLEWOOD, NJ
ZIP 07631
Phone: (917) 678-0079
Fax: (347) 284-4982

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 31D2094294
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-13-2027

About AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC

This page provides the complete NPI Profile along with additional information for Ambulatory Surgical Center Of Englewood Llc, a provider established in Englewood, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1811389976 assigned on February 2015. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Jaime Gabriel Gutierrez M.d. (Owner/president)

NPI
1811389976
Provider Name
AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC
Entity Type
Organization
Location Address
25 ROCKWOOD PL SUITE 105 ENGLEWOOD, NJ 07631
Location Phone
(917) 678-0079
Location Fax
(347) 284-4982
Mailing Address
2309 ARTHUR AVE BRONX, NY 10458
Mailing Phone
(347) 284-4500
Mailing Fax
(347) 284-4982
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2015
Last Update Date
02-26-2015
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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 State
NJ

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAIME GABRIEL GUTIERREZ M.D.

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(917) 678-0079

CLIA 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
31D2094294
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 14, 2025
Certificate Expiration Date
April 13, 2027
Laboratory Director
JAIME G. GUTIERREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ambulatory Surgical Center Of Englewood 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 1811389976, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 3 → 6 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 6 + 8 + 1 + 8 + 9 + 1 + 4 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1811389976.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, SUITE 110
ENGLEWOOD, NJ 07631
Orthopaedic Surgery
25 ROCKWOOD PL, 4TH FLOOR
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, SUITE 110
ENGLEWOOD, NJ 07631
Anesthesiology
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, SUITE110
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
25 ROCKWOOD PL, SUITE 110
ENGLEWOOD, NJ 07631
Clinic/Center (Ambulatory Surgical)
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, #110
ENGLEWOOD, NJ 07631
Surgery (Vascular Surgery)
25 ROCKWOOD PL, SUITE #425
ENGLEWOOD, NJ 07631
Internal Medicine
25 ROCKWOOD PL, SUITE 120
ENGLEWOOD, NJ 07631
Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Internal Medicine
25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
Family Medicine
25 ROCKWOOD PL, SUITE 120
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology (Gynecology)
25 ROCKWOOD PL, SUITE 305
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Neurology)
25 ROCKWOOD PL, SUITE 110
ENGLEWOOD, NJ 07631
Physician Assistant (Medical)
25 ROCKWOOD PL, ACTIVE JOINT ORTHOPEDICS
ENGLEWOOD, NJ 07631
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
25 ROCKWOOD PL, 4TH FLOOR
ENGLEWOOD, NJ 07631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811389976, enumerated as an "organization" on February 26, 2015.

The provider is located at 25 ROCKWOOD PL SUITE 105 ENGLEWOOD, NJ 07631 and the phone number is (917) 678-0079.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.