AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC
NPI 1811389976
Clinic/Center - Ambulatory Surgical in Englewood, NJ

NPI Status: Active since February 26, 2015

Contact Information

25 ROCKWOOD PL
SUITE 105
ENGLEWOOD, NJ
ZIP 07631
Phone: (917) 678-0079
Fax: (347) 284-4982

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 31D2094294
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-13-2027

About AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC

This page provides the complete NPI Profile along with additional information for Ambulatory Surgical Center Of Englewood Llc, a provider established in Englewood, New Jersey operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1811389976 assigned on February 2015. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Jaime Gabriel Gutierrez M.d. (Owner/president)

NPI
1811389976
Provider Name
AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC
Entity Type
Organization
Location Address
25 ROCKWOOD PL SUITE 105 ENGLEWOOD, NJ 07631
Location Phone
(917) 678-0079
Location Fax
(347) 284-4982
Mailing Address
2309 ARTHUR AVE BRONX, NY 10458
Mailing Phone
(347) 284-4500
Mailing Fax
(347) 284-4982
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2015
Last Update Date
02-26-2015
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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
License State
NJ

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

DR. JAIME GABRIEL GUTIERREZ M.D.

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(917) 678-0079

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
31D2094294
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 14, 2025
Certificate Expiration Date
April 13, 2027
Laboratory Director
JAIME G. GUTIERREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ambulatory Surgical Center Of Englewood 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.

Reviews for AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811389976
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28216818914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 6 + 8 + 1 + 8 + 9 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1811389976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1790784163 JONATHAN A SHAPIRO MD
Individual
Internal Medicine25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
(201) 568-8130
1295703312 JOSEPH H WILLNER MD
Individual
Psychiatry & Neurology (Neurology)25 ROCKWOOD PL SUITE110
ENGLEWOOD, NJ 07631
(201) 894-5805
1023077393DR. KIRK JAY LEVY MD
Individual
Psychiatry & Neurology (Neurology)25 ROCKWOOD PL SUITE 110
ENGLEWOOD, NJ 07631
(201) 894-5805
1912969809DAVID N FELDMAN MD LLC
Organization
Orthopaedic Surgery25 ROCKWOOD PL 4TH FLOOR
ENGLEWOOD, NJ 07631
(201) 503-0447
1194773192 YUN-BEOM CHOI MD
Individual
Psychiatry & Neurology (Neurology)25 ROCKWOOD PL SUITE 110
ENGLEWOOD, NJ 07631
(201) 894-5805
1972558633 DAVID DVIR MD
Individual
Anesthesiology25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
(201) 567-3999
1275577066WILLNER AND ALWEISS PA
Organization
Psychiatry & Neurology (Neurology)25 ROCKWOOD PL SUITE110
ENGLEWOOD, NJ 07631
(201) 894-5805
1548384209DR. DANIEL GEORGE ADLER M.D.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)25 ROCKWOOD PL SUITE 110
ENGLEWOOD, NJ 07631
(201) 894-1551
1487876769ASSOCIATED SURGEONS OF NORTHERN NEW JERSEY
Organization
Clinic/Center (Ambulatory Surgical)25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
(201) 567-3999
1023218096 RIKKI REDONA RACELA MD
Individual
Psychiatry & Neurology (Neurology)25 ROCKWOOD PL #110
ENGLEWOOD, NJ 07631
(201) 894-5805
1861748444COMPLETE VASCULAR INC
Organization
Surgery (Vascular Surgery)25 ROCKWOOD PL SUITE #425
ENGLEWOOD, NJ 07631
(201) 569-1101
1518126101DR. CATHERINE VIRGINIA LAIOSA MD
Individual
Internal Medicine25 ROCKWOOD PL SUITE 120
ENGLEWOOD, NJ 07631
(201) 568-3335
1053318964 STEVEN J WEISHOLTZ MD
Individual
Internal Medicine25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
(201) 568-8130
1053319202 JEFFREY KOCHER MD
Individual
Internal Medicine25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
(201) 568-8130
1962400119 RUSSELL GURA MD
Individual
Internal Medicine25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
(201) 568-8130
1376541359 MANUEL KATZ MD
Individual
Internal Medicine25 ROCKWOOD PL
ENGLEWOOD, NJ 07631
(201) 568-8130
1457443954 CHRISTINE HEALY D.O.
Individual
Family Medicine25 ROCKWOOD PL SUITE 120
ENGLEWOOD, NJ 07631
(201) 568-3335
1215359732ENGLEWOOD WOMEN'S HEALTH PC
Organization
Obstetrics & Gynecology (Gynecology)25 ROCKWOOD PL SUITE 305
ENGLEWOOD, NJ 07631
(201) 894-0003
1609838986 GARY S ALWEISS MD
Individual
Psychiatry & Neurology (Neurology)25 ROCKWOOD PL SUITE 110
ENGLEWOOD, NJ 07631
(201) 894-5805
1780060947 CATHERINE ROSE VOGEL PA-C
Individual
Physician Assistant (Medical)25 ROCKWOOD PL ACTIVE JOINT ORTHOPEDICS
ENGLEWOOD, NJ 07631
(201) 503-0447

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811389976, enumerated in the NPI registry as an "organization" on February 26, 2015

The provider is located at 25 Rockwood Pl Suite 105 Englewood, Nj 07631 and the phone number is (917) 678-0079

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider's CLIA number is 31D2094294 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on February 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.