LIGHTHOUSE PRIMARY CARE SERVICES, LLC (NPI# 1912236068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912236068 |
Entity Type | Organization |
Organization Name | LIGHTHOUSE PRIMARY CARE SERVICES, LLC |
Practice Address |
1173 Beacon Ave Suite B Manahawkin NJ 08050-2420 |
Mailing Address |
282 Lighthouse Dr Manahawkin NJ 08050-2530 |
Practice Telephone | 6095975636 |
Practice Fax Number | 6095975631 |
Mailing Telephone | 6095975636 |
Mailing Fax Number | 6095975631 |
Enumeration Date | 2009-12-21 |
Last Update Date | 2009-12-21 |
Authorized Official Name | MS. JULIE D. LAMBERT (OWNER/PRACTITIONER) |
Authorized Official Telephone | 6095975636 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
26NJ00071700 | NJ | Ambulatory Health Care Facilities |
Street Address |
1173 BEACON AVE SUITE B |
City | MANAHAWKIN |
State | NJ |
Zip Code | 08050-2420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174518112 | William Francis Kennard | Orthopaedic Surgery | 1173 Beacon Ave, Manahawkin, NJ 08050-2420 | 2005-09-15 |
1174156053 | Madison Alessi | Physical Therapy Assistant | 1173 Beacon Ave, Manahawkin, NJ 08050-2497 | 2020-02-19 |
1588747299 | Jb Orthopedics Pa | Orthopaedic Surgery | 1173 Beacon Ave, Manahawkin, NJ 08050-2420 | 2006-10-24 |
1891724076 | Herbert L Kunkle | Orthopaedic Surgery | 1173 Beacon Ave, Manahawkin, NJ 08050-2420 | 2006-07-01 |
1013903335 | Ralph Kuhn | Orthopaedic Surgery | 1173 Beacon Ave, Manahawkin, NJ 08050-2420 | 2005-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720600588 | Ashley Egleston | Counselor | 297 Route 72 W Ste 35, Pmb 130, Manahawkin, NJ 08050 | 2020-05-14 |
1700428364 | Candice Lynn Ferretti | Counselor | Ocean Mental Health Services- Crisis Stabilization, 712 E. Bay Ave Ste 21-e, Manahawkin, NJ 08050 | 2019-10-15 |
1194366229 | A Place for Us Atlantic County Women's Center | Case Management | 98 Atlantis Ave, Manahawkin, NJ 08050 | 2019-09-30 |
1831669167 | Hcp Manahawkin Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1272 Route 72 West, Manahawkin, NJ 08050 | 2018-11-29 |
1659893576 | Sara Rodino | Physical Therapist | 183 Anchor Ave, Manahawkin, NJ 08050 | 2017-07-12 |
1922520980 | Donnah Marie Celentano | Nurse Practitioner | 547 Route 72 East, Manahawkin, NJ 08050 | 2017-07-12 |
1639612757 | Annemarie Sacco | Counselor | 1140 Nj-72, Manahawkin, NJ 08050 | 2016-11-21 |
1255790028 | James G Johnson | Physical Therapy Assistant | 1361 Nj-72, Manahawkin, NJ 08050 | 2016-02-22 |
1760853188 | Jane Eremus-foster | Nurse Practitioner | 547 Route 72 W, Manahawkin, NJ 08050 | 2015-10-12 |
1710395579 | Stafford Medical P.a. | Specialist | 1346 Rt 72 W, Manahawkin, NJ 08050 | 2014-07-24 |
Find all providers in zip 08050 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089355 | Trans Pacific Medical PC | Clinic/Center | 1590 Anderson Ave Ph 1, Fort Lee, NJ 07024-2711 | 2020-09-26 |
1700402609 | Loihle Medical | Clinic/Center | 93 Montgomery St, Bloomfield, NJ 07003-6003 | 2020-06-17 |
1386266310 | Ren Zhou,md | Clinic/Center | 233 Bridge St Bldg F, Metuchen, NJ 08840-2292 | 2020-05-13 |
1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
Find all providers with the same taxonomy |
City | MANAHAWKIN |
Zip Code | 08050 |
Please comment or provide details below to improve the information on LIGHTHOUSE PRIMARY CARE SERVICES, LLC.
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.