SUITE402ASSOCIATES, LLC (NPI# 1851722730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851722730 |
| Entity Type | Organization |
| Organization Name | SUITE402ASSOCIATES, LLC |
| Other Organization Name | PENINSULA VEIN AND LASER CENTER |
| Practice Address |
279 3rd Ave Suite 402 Long Branch NJ 07740-6211 |
| Practice Telephone | 7322298486 |
| Practice Fax Number | 7322291576 |
| Mailing Telephone | 7322298486 |
| Mailing Fax Number | 7322291576 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |
| Authorized Official Name | DR. ERNEST MICHAEL GINALIS (PRESIDENT) |
| Authorized Official Telephone | 7322298486 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Peninsula Vein and Laser Center | Doing Business As Name - Organization |
| Street Address |
279 3RD AVE SUITE 402 |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928843 | Ronald W Kristan | Ophthalmology | 279 3rd Ave, Ste. 204, Long Branch, NJ 07740-6205 | 2005-08-03 |
| 1578934725 | Natalie Corlett | Nurse Practitioner | 279 3rd Ave, Suite 306, Long Branch, NJ 07740-6211 | 2015-10-14 |
| 1841589470 | Natalie Viggiano | Dietitian, Registered | 279 3rd Ave, Long Branch, NJ 07740-6211 | 2011-04-05 |
| 1982900296 | Irving D Strouse Md Pa | Orthopaedic Surgery | 279 3rd Ave, Sutie 504, Long Branch, NJ 07740-6211 | 2011-02-03 |
| 1104148311 | Trinity Rehab Long Branch, P.a. | Physical Therapist | 279 3rd Ave, Suite 206, Long Branch, NJ 07740-6211 | 2010-02-16 |
| 1124255534 | Tina Susanne Rakitt | Pediatrics | 279 3rd Ave, Suite 101, Long Branch, NJ 07740-6211 | 2009-06-12 |
| 1083801526 | Monmouth Chiropractic Neurology Assoc Pa | Chiropractor | 279 3rd Ave, Suite 404, Long Branch, NJ 07740-6211 | 2007-09-28 |
| 1518161223 | Douglas A Ross | Internal Medicine | 279 3rd Ave, Long Branch, NJ 07740-6211 | 2007-06-14 |
| 1205038262 | Ravi Patel | Ophthalmology | 279 3rd Ave, Suite 204, Long Branch, NJ 07740-6211 | 2007-06-01 |
| 1932326642 | Kathleen M Stansfield | Dietitian, Registered | 279 3rd Ave, Ste 604, Long Branch, NJ 07740-6205 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316352230 | Michael A Goldfarb Md Facs LLC | Surgery | 48 Pavilion Ave, Long Branch, NJ 07740-6413 | 2014-06-30 |
| 1497724702 | Michael A. Goldfarb | Surgery | 166 Morris Ave, Long Branch, NJ 07740-6619 | 2006-03-17 |
| 1730211202 | George S Constantinopoulos, Md, LLC | Surgery | 279 3rd Ave, Suite 407, Long Branch, NJ 07740-6205 | 2007-03-11 |
| 1154457539 | Frank J Vozos | Surgery | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2007-02-27 |
| 1801931563 | Monmouth Surgeons, LLC | Surgery | 279 3rd Ave, Suite 407, Long Branch, NJ 07740-6205 | 2007-02-20 |
| 1679620884 | James G. Roros, M.d., L.L.C. | Surgery | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2007-01-03 |
| 1588739742 | George S Constantinopoulos | Surgery | 279 3rd Ave, Suite 407, Long Branch, NJ 07740-6205 | 2006-11-22 |
| 1326110081 | Loki Skylizard | Surgery | 166 Morris Ave, 2nd Fl, Long Branch, NJ 07740-6619 | 2006-11-15 |
| 1629151048 | Ernest Michael Ginalis | Surgery | 279 3rd Ave, Suite 407, Long Branch, NJ 07740-6205 | 2006-10-21 |
| 1326134917 | James G Roros | Surgery | 300 Second Avenue, Long Branch, NJ 07740 | 2006-10-04 |
| Find all providers in LONG BRANCH | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
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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.