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NEW JERSEY CRITICAL CARE SURGERY LLC NPI 1679240774


NPI Information

NPI: 1679240774
Provider Name: NEW JERSEY CRITICAL CARE SURGERY LLC
Classification: Surgery - 2086S0102X
Entity Type: Organization

Specialization: Surgical Critical Care

Address:
600 RIVER AVE
LAKEWOOD, NJ
ZIP 08701
Phone: (848) 275-1805
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NEW JERSEY CRITICAL CARE SURGERY LLC is a surgical critical care surgery in Lakewood, NJ. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NEW JERSEY CRITICAL CARE SURGERY LLC NPI is 1679240774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 RIVER AVE
LAKEWOOD, NJ
ZIP 08701-237
Phone: (848) 275-1805

The provider's authorized official is John W. Gorechlad .
The authorized official title is Owner and has the following contact phone number (848) 250-9361.

The enumeration date for this NPI number is 8/26/2021 and was last updated on 12/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0102XSurgerySurgical Critical CareYes

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: 4/28/2024

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