Valleygate Surgery Center of NE PA LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VALLEYGATE SURGERY CENTER OF NE PA LLC

Practice address

423 3Rd Ave Ste D
Kingston, PA 18704-5809

Phone

(337) 356-7044

NPI assigned

Sep 24, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Kennerson

Title

Director of Strategic Development

Phone

(337) 356-7044

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1538032743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 LITHO PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD AVE STE D",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "337-356-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYGATE SURGERY CENTER OF NE PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "KENNERSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DIRECTOR OF STRATEGIC DEVELOPMENT",
        "authorized_official_telephone_number": "337-356-7044"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl J. Urbanski, O.D.
• Urologic Associates of Wilkes Barre Inc
• Valley Counseling Associates, PC
• Valley Open MRI and Diagnostic Ctr
• Valley Vascular Imaging
• Candice Van Etten, CRVT
• Heidy Vargas, COTA/L
• Vascular Access Center of Kingston LLC
• Erick Velez
• Gary Thomas Verazin, MD

• Ambulatory Surgical Clinic/Center in Kingston, PA
• Providers in Kingston, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.