LIGHTHOUSE PRIMARY CARE SERVICES, LLC


Address: 1173 Beacon Ave, Suite B, Manahawkin, NJ 08050-2420
Phone: 6095975636

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
26NJ00071700 NJ Ambulatory Health Care Facilities

Office Location

Street Address 1173 BEACON AVE
SUITE B
City MANAHAWKIN
State NJ
Zip Code 08050-2420

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City MANAHAWKIN
Zip Code 08050

Improve Information

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Dataset Information

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.

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