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SPECIALTY SURGICAL CENTER ANESTHESIA
NPI 1821398199
Anesthesiology in Sparta, NJ

Active since November 02, 2010CLIA 31D1069860 · Waiver
380 LAFAYETTE RD, SUITE 110, SPARTA, NJ 07871(973) 940-3166(973) 940-3170 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1821398199
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSPECIALTY SURGICAL CENTER, LLC
Location Address380 LAFAYETTE RD, SUITE 110Sparta, NJ 07871-3556
Mailing AddressPo Box 95000-4525Philadelphia, PA 19195-4525 · (717) 263-5562 · Fax (717) 263-1566
Phone(973) 940-3166
Fax(973) 940-3170
Organization SubpartYes
Authorized OfficialDonald MykulikAdministrator · (973) 940-3166
Enumeration DateNovember 2, 2010
✔ NPI 1821398199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
380 LAFAYETTE RD, Sparta, NJ 07871
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Other Names 1

Doing Business AsSpecialty Surgical Center Anesthesia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 31D1069860

Specialty Surgical Center · Sparta, NJ
Active · expires Jun 13, 2027
CLIA Number31D1069860
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDr. Stephen Koss
Laboratory Phone(973) 940-3166
Laboratory LocationSpecialty Surgical Center380 Lafayette Road, Sparta, NJ 07871
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 2

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

ADVANCED SPINAL CARE & ASSOCIATES, LLC
Specialist
380 LAFAYETTE RD
SPARTA, NJ 07871
Sussex County (973) 300-0174
SPARTA ANESTHESIA ASSOCIATES, LLC
Anesthesiology
380 LAFAYETTE RD, SUITE 110
SPARTA, NJ 07871
Sussex County (973) 940-3166

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 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.

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.