Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pembrooke Square Surgery Center, LLC

Ambulatory Surgical Clinic/Center in Waldorf, MD · enumerated 2005 · authorized official Lisa Conley, Business Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912993700

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Pembrooke Square Surgery Center, LLC

Practice address 11370 Pembrooke Sq, Waldorf, MD, 20603

Phone (301) 396-8492

Fax (301) 396-8498

Enumeration date Sep 27, 2005

Last updated in NPPES Nov 18, 2009

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License A1407 (MD) Primary

Authorized official

Name Lisa Conley

Title Business Office Manager

Phone (301) 396-8492

Other identifiers

Identifier	Type	State	Issuer
3771631	Other	-	AETNA HMO
407056900	Medicaid	MD	-
64470501	Other	MD	BCBS OF MD
7862630	Other	-	AETNA PPO
RT6	Other	DC	BCBS NATIONAL CAP AREA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Pembrooke Square Surgery Center, LLC?

Pembrooke Square Surgery Center, LLC is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).

Providers at this address

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Pembrooke Anesthesia Assoc., LLC Anesthesiology Physician · Waldorf, MD NPI 1346350675 Meridian Anesthesia Services, LLC Anesthesiology Physician · Waldorf, MD NPI 1275855637 Embarka Chaib Family Nurse Practitioner · Waldorf, MD NPI 1548796501 Surgical Associates Chartered Vascular Surgery Physician · Waldorf, MD NPI 1508355470 Heart Center of Southern Maryland LLP Cardiovascular Disease Physician · Waldorf, MD NPI 1861339178

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-18.