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

Q: What is Port Jefferson ASC, LLC's NPI number?

The NPI number for Port Jefferson ASC, LLC is 1881134815. It was assigned to this organization in the NPPES registry on February 23, 2017.

Q: What is Port Jefferson ASC, LLC's specialty?

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

Active since February 23, 2017CLIA 33D2141489 · Waiver

1500 ROUTE 112, BLDG 3, PORT JEFFERSON STATION, NY 11776(720) 287-5362 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2018, Feb 23, 2017 (2 updates tracked since 2017).

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About Port Jefferson Asc, Llc NPPES

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

PORT JEFFERSON ASC, LLC (NPI 1881134815) is a healthcare organization registered as an ambulatory surgical in Port Jefferson Station, New York and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Lisa A Austin, Manager, as its authorized official.

NPPES Registry Identity

NPI1881134815

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePORT JEFFERSON ASC, LLC

Location Address1500 ROUTE 112, BLDG 3Port Jefferson Station, NY 11776

Mailing Address1500 Route 112 Bldg 3Port Jefferson Station, NY 11776-8054 · (631) 828-5555 · Fax (631) 828-5544

Phone(720) 287-5362

Organization SubpartNo

Authorized OfficialLisa A AustinManager · (631) 828-5555

Enumeration DateFebruary 23, 2017

Last NPPES UpdateJuly 20, 20182 updates tracked since enumeration

✔ NPI 1881134815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1500 ROUTE 112, Port Jefferson Station, NY 11776

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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 33D2141489

Port Jefferson ASC LLC · Port Jefferson Station, NY

Active · expires Mar 26, 2027

CLIA Number33D2141489

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 14, 2017

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Ajay E. Chitkara

Laboratory Phone(631) 828-5555

Laboratory LocationPort Jefferson ASC LLC1500 Rte 112 - Bldg 3, Port Jefferson Station, NY 11776

CLIA data matches this NPI record on: Name Phone

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

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

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.

1,050 services669 patients

Complex removal of cataract with insertion of prosthetic lens 66982

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.

145 services101 patients

Aspiration and/or injection of fluid from large joint 20610

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.

69 services66 patients

Incision to improve eye fluid flow 65820

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.

65 services42 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

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.

49 services25 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

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.

48 services36 patients

Removal of knee cartilage using an endoscope 29881

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.

45 services44 patients

Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye 66988

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.

44 services27 patients

Removal of both knee cartilages using an endoscope 29880

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.

30 services30 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

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.

30 services16 patients

Incision of tendon covering of finger 26055

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.

23 services21 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

22 services11 patients

Release and/or relocation of hand nerve 64721

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.

21 services18 patients

Replacement of knee joint, both sides of knee 27447

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.

14 services13 patients

Other Providers at the Same Location NPPES 20

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

ELEANA KITZ NP

Nurse Practitioner (Family)

1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 771-3000

JENNIFER MARIE DIAZ MD

Allergy & Immunology

1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 828-7001

ZARLASHT KHAN

Internal Medicine (Rheumatology)

1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 743-6840

RAMAN SINGH NP

Nurse Practitioner (Adult Health)

1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 751-3000

LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

1500 ROUTE 112, BLDG 5
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 828-3400

JOHN PAUL SUGRUE M.D.

Otolaryngology

1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 828-7001

MR. CRAIG PETER DAVIDSON

Physical Therapist

1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 849-6688

JEFFREY L VACIRCA MD

Internal Medicine (Hematology & Oncology)

1500 ROUTE 112, BLDG 4
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 574-8354

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 Port Jefferson ASC, LLC's NPI number?

The NPI number for Port Jefferson ASC, LLC is 1881134815. It was assigned to this organization in the NPPES registry on February 23, 2017.

Where is Port Jefferson ASC, LLC located?

Port Jefferson ASC, LLC is located at 1500 Route 112 Bldg 3, Port Jefferson Station, NY 11776. The listed phone number is (720) 287-5362.

What is Port Jefferson ASC, LLC's specialty?

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

Does Port Jefferson ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2141489) 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 Port Jefferson ASC, LLC was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

About Port Jefferson Asc, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 33D2141489

Areas of Expertise CMS Part B claims 14

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Port Jefferson ASC, LLC's NPI number?

Where is Port Jefferson ASC, LLC located?

What is Port Jefferson ASC, LLC's specialty?

Does Port Jefferson ASC, LLC hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 33D2141489