GARDEN STATE SURGICAL CENTER, LLC
NPI 1891882031
Clinic/Center - Ambulatory Surgical in Fair Lawn, NJ

Active since October 09, 2006CLIA 31D2042181 · Waiver
28-06 BROADWAY, FAIR LAWN, NJ 07410(201) 475-8940 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Garden State Surgical Center, Llc NPPES

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

GARDEN STATE SURGICAL CENTER, LLC (NPI 1891882031) is a healthcare organization registered as an ambulatory surgical in Fair Lawn, New Jersey and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Kenneth A Levitsky, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1891882031
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGARDEN STATE SURGICAL CENTER, LLC
Location Address28-06 BROADWAYFair Lawn, NJ 07410-3913
Mailing Address28-06 BroadwayFair Lawn, NJ 07410-3913 · (201) 475-8940
Organization SubpartNo
Authorized OfficialKenneth A LevitskyManaging Partner · (201) 475-8940
Enumeration DateOctober 9, 2006
Last NPPES UpdateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
NPI 1891882031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
28-06 BROADWAY, Fair Lawn, NJ 07410

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 31D2042181

Garden State Surgical Center, LLC · Fair Lawn, NJ
Active · expires Jun 6, 2028
CLIA Number31D2042181
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorDouglas S. Holden
Laboratory Phone(201) 475-8940
Laboratory LocationGarden State Surgical Center, LLC28-06 Broadway, Fair Lawn, NJ 07410
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

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.
59 services40 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.
18 services14 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.
16 services13 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.
14 services11 patients

Other Providers at the Same Location NPPES 6

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

Anesthesiology
28-06 BROADWAY
FAIR LAWN, NJ 07410
Anesthesiology
28-06 BROADWAY
FAIR LAWN, NJ 07410
Anesthesiology (Pain Medicine)
28-06 BROADWAY
FAIR LAWN, NJ 07410
Anesthesiology
28-06 BROADWAY
FAIR LAWN, NJ 07410
Anesthesiology
28-06 BROADWAY
FAIR LAWN, NJ 07410
Anesthesiology
28-06 BROADWAY
FAIR LAWN, NJ 07410

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 Garden State Surgical Center, LLC's NPI number?

The NPI number for Garden State Surgical Center, LLC is 1891882031. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Garden State Surgical Center, LLC located?

Garden State Surgical Center, LLC is located at 28-06 Broadway, Fair Lawn, NJ 07410. The listed phone number is (201) 475-8940.

What is Garden State Surgical Center, LLC's specialty?

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

Does Garden State Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2042181) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Garden State Surgical Center, LLC was last updated on January 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.