GARDEN STATE SURGICAL CENTER, LLC - NPI 1891882031

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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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

Phone(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

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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 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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

62 services39 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.

FAIR LAWN ANESTHESIA ASSOCIATES, LLC

Anesthesiology