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MID-ATLANTIC SURGICAL ASSOCIATES NPI 1023000130


NPI Information

NPI: 1023000130
Provider Name: MID-ATLANTIC SURGICAL ASSOCIATES
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
1944 ROUTE 33
STE 201
NEPTUNE, NJ
ZIP 07753
Phone: (732) 776-4622
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MID-ATLANTIC SURGICAL ASSOCIATES is a thoracic surgery cardiothoracic vascular surgery in Neptune, NJ. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. MID-ATLANTIC SURGICAL ASSOCIATES NPI is 1023000130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1944 ROUTE 33
STE 201
NEPTUNE, NJ
ZIP 07753-862
Phone: (732) 776-4622
Fax: (732) 776-3765

The provider's authorized official is Douglas A Irvin .
The authorized official title is Administrator and has the following contact phone number (973) 971-7307.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 7/12/2007.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13552501MEDICAIDNEW JERSEY
2026444MEDICARE PINNEW JERSEY

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: 11/14/2023

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