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SURGERY CENTER OF HACKENSACK, LLC
NPI 1922823095
Clinic/Center - Ambulatory Surgical in Hackensack, NJ

Active since November 22, 2024CLIA 31D2312089 · Waiver
146 N STATE RT 17 STE A1 & A2 LOWR LEVEL, HACKENSACK, NJ 07601(551) 999-9064(833) 428-8546 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Mar 6, 2025, Feb 11, 2025 and 1 more (4 updates tracked since 2024).

About Surgery Center Of Hackensack, Llc NPPES

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

SURGERY CENTER OF HACKENSACK, LLC (NPI 1922823095) is a healthcare organization registered as an ambulatory surgical in Hackensack, New Jersey and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists William Vanderveer, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1922823095
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF HACKENSACK, LLC
Location Address146 N STATE RT 17 STE A1 & A2 LOWR LEVELHackensack, NJ 07601-1069
Mailing Address2500 Morris Ave Ste 220Union, NJ 07083-5675
Phone(551) 999-9064
Fax(833) 428-8546
Organization SubpartNo
Authorized OfficialWilliam VanderveerManaging Member · (551) 999-9064
Enumeration DateNovember 22, 2024
Last NPPES UpdateMarch 10, 20254 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1922823095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
146 N STATE RT 17 STE A1 & A2 LOWR LEVEL, Hackensack, NJ 07601
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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 31D2312089

Surgery Center Of Hackensack · Hackensack, NJ
Active · expires Oct 2, 2026
CLIA Number31D2312089
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorEric D. Freeman
Laboratory Phone(551) 999-9064
Laboratory LocationSurgery Center Of Hackensack146 Rt 17 N Suite A2, Hackensack, NJ 07601
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 Surgery Center Of Hackensack, LLC's NPI number?

The NPI number for Surgery Center Of Hackensack, LLC is 1922823095. It was assigned to this organization in the NPPES registry on November 22, 2024.

Where is Surgery Center Of Hackensack, LLC located?

Surgery Center Of Hackensack, LLC is located at 146 N State Rt 17 Ste A1 & A2 Lowr Level, Hackensack, NJ 07601. The listed phone number is (551) 999-9064.

What is Surgery Center Of Hackensack, LLC's specialty?

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

Does Surgery Center Of Hackensack, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2312089) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Hackensack, LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.