ESSEX SPECIALIZED SURGICAL INSTITUTE LLC NPI 1679728901

NPI Information

  • NPI: 1679728901
  • Provider Name: ESSEX SPECIALIZED SURGICAL INSTITUTE LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 31D1094771
  • Address: 475 PROSPECT AVE
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (732) 750-0400

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NPI Details

ESSEX SPECIALIZED SURGICAL INSTITUTE LLC is an ambulatory surgical clinic center in West Orange, NJ. ESSEX SPECIALIZED SURGICAL INSTITUTE LLC NPI is 1679728901. The provider is registered as an organization entity type.

The provider's business location address is:

475 PROSPECT AVE
WEST ORANGE, NJ
ZIP 07052-197
Phone: (732) 750-0400
Fax: (732) 750-1507

The provider's authorized official is Christopher Quinn .
The authorized official title is President and has the following contact phone number (732) 750-0400.

The CLIA number assigned to this NPI record is 31D1094771 - 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 cataract with insertion of prosthetic lens (HCPCS:66984)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Creation of eye fluid drainage tract for treatment of glaucoma with previous scarring (HCPCS:66172)
  • Removal of scar tissue in eye (posterior synechiae) (HCPCS:65875)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of membrane of retina (HCPCS:67041)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Aspiration of lens material by fragmenting and aspiration (HCPCS:66850)
  • Extensive repair of turning-inward eyelid defect (HCPCS:67924)
  • Removal or relocation of corneal conjunctiva with graft (HCPCS:65426)

The enumeration date for this NPI number is 12/1/2008 and was last updated on 7/29/2010.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1164138MEDICARE PINNEW JERSEY
20206733MEDICAIDNEW JERSEY

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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