SPECIALTY SURGICAL CENTER ANESTHESIA
NPI 1821398199
Anesthesiology in Sparta, NJ
About Specialty Surgical Center Anesthesia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPECIALTY SURGICAL CENTER ANESTHESIA (NPI 1821398199) is a healthcare organization registered as an anesthesiology in Sparta, New Jersey and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Donald Mykulik, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Specialty Surgical Center Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Specialty Surgical Center Anesthesia, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (11)
Washington, DC 20010
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 31D1069860
Specialty Surgical Center · Sparta, NJFrequently 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 Specialty Surgical Center, LLC's NPI number?
The NPI number for Specialty Surgical Center, LLC is 1821398199. It was assigned to this organization in the NPPES registry on November 2, 2010. The provider is doing business as Specialty Surgical Center Anesthesia.
Where is Specialty Surgical Center, LLC located?
Specialty Surgical Center, LLC is located at 380 Lafayette Rd Suite 110, Sparta, NJ 07871. The listed phone number is (973) 940-3166.
What is Specialty Surgical Center, LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Specialty Surgical Center, LLC enrolled in Medicare?
Yes. Specialty Surgical Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Specialty Surgical Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Anesthesiology, reassign their Medicare billing to Specialty Surgical Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Specialty Surgical Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1069860) is associated with this NPI, valid through June 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 Specialty Surgical Center, LLC was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Specialty Surgical Center Anesthesia · NPI 1821398199
Anesthesiology organization in Sparta, New Jersey. Organization record, active in the CMS NPPES registry since November 2, 2010.
## Identity
- **NPI:** 1821398199 (Entity type: Organization)
- **Enumerated:** November 2, 2010
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Legal business name:** Specialty Surgical Center, Llc
- **Organization subpart:** Yes (part of Specialty Surgical Center, Llc)
- **Authorized official:** Donald Mykulik, ADMINISTRATOR
## Practice location
- **Address:** 380 LAFAYETTE RD, SUITE 110, Sparta, NJ 07871-3556
- **Phone:** (973) 940-3166 · **Fax:** (973) 940-3170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians (Anesthesiology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821398199) · Data from the CMS NPPES public registry.