969 PARK SURGICAL SUITE PLLC
NPI 1851251896
Clinic/Center - Ambulatory Surgical in New York, NY

Q: What is 969 Park Surgical Suite PLLC's NPI number?

The NPI number for 969 Park Surgical Suite PLLC is 1851251896. It was assigned to this organization in the NPPES registry on November 13, 2025.

Q: What is 969 Park Surgical Suite PLLC's specialty?

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

Active since November 13, 2025CLIA 33D2350698 · Waiver

969 PARK AVE STE 1F, NEW YORK, NY 10028(917) 382-4544 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 18, 2026, Nov 13, 2025 (2 updates tracked since 2025).

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About 969 Park Surgical Suite Pllc NPPES

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

969 PARK SURGICAL SUITE PLLC (NPI 1851251896) is a healthcare organization registered as an ambulatory surgical in New York, New York and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Aviva Preminger, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1851251896

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business Name969 PARK SURGICAL SUITE PLLC

Location Address969 PARK AVE STE 1FNew York, NY 10028-0322

Mailing Address969 Park Ave Ste 1fNew York, NY 10028-0322 · (999) 999-9999

Phone(917) 382-4544

Organization SubpartNo

Authorized OfficialAviva PremingerMedical Director · (212) 706-1900

Enumeration DateNovember 13, 2025

Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1851251896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

969 PARK AVE STE 1F, New York, NY 10028

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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 33D2350698

969 Park Surgical Suite PLLC · New York, NY

Active · expires Mar 26, 2027

CLIA Number33D2350698

Laboratory TypePhysician Office

Certificate Effective DateSeptember 14, 2026

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Beth Preminger

Laboratory Phone(212) 706-1900

Laboratory Location969 Park Surgical Suite PLLC969 Park Ave - Ste 1E, New York, NY 10028

CLIA data matches this NPI record on: Name Phone

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

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 969 Park Surgical Suite PLLC's NPI number?

The NPI number for 969 Park Surgical Suite PLLC is 1851251896. It was assigned to this organization in the NPPES registry on November 13, 2025.

Where is 969 Park Surgical Suite PLLC located?

969 Park Surgical Suite PLLC is located at 969 Park Ave Ste 1F, New York, NY 10028. The listed phone number is (917) 382-4544.

What is 969 Park Surgical Suite PLLC's specialty?

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

Does 969 Park Surgical Suite PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2350698) is associated with this NPI, valid through March 26, 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 969 Park Surgical Suite PLLC was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.