NORTHEAST SURGICARE LLC NPI 1053566513

NPI Information

NPI: 1053566513
Provider Name: NORTHEAST SURGICARE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 31D2135306

Address:
475 ROUTE 70 STE 203
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 714-0070
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NORTHEAST SURGICARE, LLC is an ambulatory surgical clinic center in Lakewood, NJ. NORTHEAST SURGICARE, LLC NPI is 1053566513. The provider is registered as an organization entity type.

The provider's business location address is:

475 ROUTE 70 STE 203
LAKEWOOD, NJ
ZIP 08701-897
Phone: (732) 714-0070

The provider's authorized official is Dimitrios Christos Lambrou .
The authorized official title is Co-owner and has the following contact phone number (732) 714-0070.

The CLIA number assigned to this NPI record is 31D2135306 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/25/2008 and was last updated on 6/30/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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