SHORE OUTPATIENT SURGICENTER LLC (NPI# 1366449571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366449571 |
| Entity Type | Organization |
| Organization Name | SHORE OUTPATIENT SURGICENTER LLC |
| Practice Address |
360 Route 70 Lakewood NJ 08701-5823 |
| Practice Telephone | 7329429835 |
| Practice Fax Number | 7328861573 |
| Mailing Telephone | 7329429835 |
| Mailing Fax Number | 7328861573 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2017-11-09 |
| Authorized Official Name | JENETHA D MORAN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
22372 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | RAILROAD MEDICARE | 490003641 | 01 |
| NJ | 7642504 | 05 |
| Street Address |
360 ROUTE 70 |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194264556 | Lakewood Functional Restoration Asc, LLC | Clinic/Center | 5750 Downey Ave Ste 302, Lakewood, CA 90712-1476 | 2017-02-17 |
| 1447799044 | Greenwood Asc, LLC | Clinic/Center | 355 Union Blvd Ste 10, Lakewood, CO 80228-1500 | 2017-02-15 |
| 1396130811 | D1 Surgical Assisting | Clinic/Center | 12722 W Louisiana Ave, Lakewood, CO 80228-3517 | 2015-04-01 |
| 1053566513 | Northeast Surgicare, LLC | Clinic/Center | 475 Route 70 Ste 203, Lakewood, NJ 08701-5897 | 2008-11-25 |
| 1467415950 | Outpatient Surgery Center of Lakewood Lp | Clinic/Center | 2201 Wadsworth Blvd, Lakewood, CO 80214-5708 | 2006-04-07 |
| 1780673327 | Lakewood Surgery Center, LLC | Clinic/Center | 1215 Route 70, Suite 2000, Lakewood, NJ 08701-5947 | 2005-10-17 |
| 1922611714 | Colorado Urologic Surgery Center, LLC | Clinic/Center | 255 S Routt St, Lakewood, CO 80228-2271 | 2020-08-31 |
| 1629320742 | Denver West Endoscopy Center, LLC | Clinic/Center | 13952 Denver West Pkwy Ste 100, Lakewood, CO 80401-3141 | 2012-10-12 |
| 1154622579 | Shore Surgical Pavilion, LLC | Clinic/Center | 475 Route 70, Suite 202, Lakewood, NJ 08701-5897 | 2010-11-17 |
| 1699855973 | Center for Special Procedures, LLC | Clinic/Center | 475 Highway 70, Suite 203, Lakewood, NJ 08701-5897 | 2006-10-17 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.