PORT JEFFERSON ASC, LLC
NPI 1881134815
Clinic/Center - Ambulatory Surgical in Port Jefferson Station, NY

NPI Status: Active since February 23, 2017

Contact Information

1500 ROUTE 112
BLDG 3
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (720) 287-5362

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 33D2141489
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2027

About PORT JEFFERSON ASC, LLC

This page provides the complete NPI Profile along with additional information for Port Jefferson Asc, Llc, a provider established in Port Jefferson Station, New York operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1881134815 assigned on February 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Lisa A Austin (Manager)

NPI
1881134815
Provider Name
PORT JEFFERSON ASC, LLC
Entity Type
Organization
Location Address
1500 ROUTE 112 BLDG 3 PORT JEFFERSON STATION, NY 11776
Location Phone
(720) 287-5362
Mailing Address
1500 ROUTE 112 BLDG 3 PORT JEFFERSON STATION, NY 11776
Mailing Phone
(631) 828-5555
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2017
Last Update Date
07-20-2018
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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

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

LISA A AUSTIN

Authorized Official Title
MANAGER
Authorized Official Phone
(631) 828-5555

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 63 times for 57 patients

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 104 times for 75 patients

Complex removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye

This procedure involves removing a cloudy lens (cataract) from your eye, replacing it with an artificial one, and using laser treatment to reduce fluid production and lower eye pressure. It's performed to improve your vision and eye health.

This service was performed 20 times for 15 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 20 times for 18 patients

Incision to improve eye fluid flow

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

This service was performed 73 times for 53 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 14 times for 11 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 41 times for 20 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 15 times for 14 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 22 times for 14 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 21 times for 19 patients

Removal of both knee cartilages using an endoscope

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

This service was performed 20 times for 20 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 945 times for 621 patients

Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. A laser is then used to reduce fluid production in the eye, helping to lower pressure and improve vision.

This service was performed 31 times for 24 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 38 times for 38 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 12 times for 12 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 15 times for 14 patients

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
33D2141489
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 14, 2017
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. AJAY E. CHITKARA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Port Jefferson Asc, 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 1881134815, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 8 → 16 → 7 1 → 2 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 6 + 1 + 2 + 3 + 8 + 8 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1881134815.

Other Providers at the Same Location


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

Obstetrics & Gynecology
1500 ROUTE 112, BLDG 11 SUITE A
PORT JEFFERSON STATION, NY 11776
Obstetrics & Gynecology
1500 ROUTE 112, BLDG 11, SUITE B
PORT JEFFERSON STATION, NY 11776
Alzheimer Center (Dementia Center)
1500 ROUTE 112, BUILDING 6, SUITE A
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Otolaryngology (Sleep Medicine)
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Allergy & Immunology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Internal Medicine (Hematology & Oncology)
1500 ROUTE 112, BLDG 4
PORT JEFFERSON STATION, NY 11776
Physical Therapist
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Audiologist
1500 ROUTE 112, BLDG #4, 2ND FLOOR
PORT JEFFERSON, NY 11776
Internal Medicine (Rheumatology)
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Orthopaedic Surgery
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Audiologist
1500 ROUTE 112, BUILDING 4 SECOND FL
PORT JEFFERSON STATION, NY 11776
Massage Therapist
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Physician Assistant
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881134815, enumerated as an "organization" on February 23, 2017.

The provider is located at 1500 ROUTE 112 BLDG 3 PORT JEFFERSON STATION, NY 11776 and the phone number is (720) 287-5362.

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