ELITE SURGICAL CENTER LLC NPI 1265546691

NPI Information

  • NPI: 1265546691
  • Provider Name: ELITE SURGICAL CENTER LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: WAYNE SURGICAL CENTER LLC
  • CLIA Number: 31D1055062
  • Address: 307 HAMBURG TURNPIKE
    WAYNE, NJ
    ZIP 07470
  • Phone: (973) 790-7700

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NPI Details

ELITE SURGICAL CENTER LLC is a clinic center in Wayne, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ELITE SURGICAL CENTER LLC NPI is 1265546691. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Wayne Surgical Center Llc.

The provider's business location address is:

307 HAMBURG TURNPIKE
WAYNE, NJ
ZIP 07470
Phone: (973) 790-7700

The provider's authorized official is Dennis William Simmons .
The authorized official title is Coo and has the following contact phone number (973) 709-1900.

The CLIA number assigned to this NPI record is 31D1055062 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Repair of knee joint with drilling and or scraping of joint using an endoscope (HCPCS:29879)
  • Removal of joint lining from multiple knee joint compartments using an endoscope (HCPCS:29876)

The enumeration date for this NPI number is 8/19/2006 and was last updated on 10/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1033824MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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