NPIMap

Organization Active NPI

Lighthouse Surgical Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • Hollis, NH
National Provider Identifier
1932700085
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LIGHTHOUSE SURGICAL SUITES, LLC
Practice address
2 Market PL Ste 100
Hollis, NH 03049-5921
Phone
(603) 724-1638
NPI assigned
Nov 5, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Dr. Hayden N. Box, MD
Title
Medical Director
Phone
(603) 600-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2 Market PL Ste 100
Hollis, NH 03049-5921

Mailing address

2 Market PL Ste 100
Hollis, NH 03049-5921
Phone (603) 600-6175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210125001784 NH Part B Supplier - Ambulatory Surgical Center 2264846781 Practice locations: Hollis, NH
O20210408002052 NH Part B Supplier - Clinic/Group Practice 0042287591 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hollis, NH; Nashua, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932700085. Details of each certification follow.

Ambulatory surgical center certification: CCN 30C0001046

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LIGHTHOUSE SURGICAL SUITES, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 16, 2021
Last certification
Jun 16, 2021
Ownership / control type
Proprietary
Facility address
2 Market Place, Suite100
Hollis, NH 03049

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2205762Lighthouse Surgical Suites, LLC2 Market PL, Ste #100, Hollis, NH 03049Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Locations

40 Washington St
Ste 130
Wellesley Hills, MA 02481
Phone (617) 738-0857

2 Market Pl
#100
Hollis, NH 03049

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1932700085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARKET PL STE 100",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030495921",
            "telephone_number": "603-600-6175",
            "fax_number": "603-600-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARKET PL STE 100",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030495921",
            "telephone_number": "603-724-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE SURGICAL SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "603-600-6175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NH

Sources for this page

Verify at the official NPI Registry.