NORTHWAY SPC LLC NPI 1992186852

NPI Information

  • NPI: 1992186852
  • Provider Name: NORTHWAY SPC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 33D2100135
  • Address: 1596 ROUTE 9
    HALFMOON, NY
    ZIP 12065
  • Phone: (518) 322-7720

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NPI Details

NORTHWAY SPC LLC is an ambulatory surgical clinic center in Halfmoon, NY. NORTHWAY SPC LLC NPI is 1992186852. The provider is registered as an organization entity type.

The provider's business location address is:

1596 ROUTE 9
HALFMOON, NY
ZIP 12065
Phone: (518) 322-7720

The provider's authorized official is Kasandra A. Hopkins .
The authorized official title is Administrator and has the following contact phone number (518) 371-6772.

The CLIA number assigned to this NPI record is 33D2100135 - 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.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Injection of anesthetic agent and/or steroid into lower back and leg nerve (HCPCS:64445)
  • Destruction of peripheral nerve or branch (HCPCS:64640)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of anesthetic agent and/or steroid into upper neck and back of head nerve (HCPCS:64405)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)
  • Injection of anesthetic agent and/or steroid into rib nerve (HCPCS:64420)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)

The enumeration date for this NPI number is 6/16/2015 and was last updated on 4/7/2016.

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 Surgical4552201RNEW YORKYes

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
133C0001159MEDICARE UPIN

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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