Shore Outpatient Surgicenter Llc

LBN: Shore Outpatient Surgicenter Llc
Shore Outpatient Surgicenter Llc is an health care organization with primary practice located at 360 Route 70 , Lakewood NJ 08701-5823. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Shore Outpatient Surgicenter Llc can be contacted via phone (732) 942-9835, or through Bailey, Jonathan via phone (203) 609-1168.

Contact Information

Primary practice address
360 Route 70 Lakewood NJ 08701-5823
Fax: (732) 886-1573
Website:
Authorized official contact:
Name: Bailey, Jonathan

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 22372 New Jersey

Profile Details

NPI number 1366449571
LBN Legal business name Shore Outpatient Surgicenter Llc
DBA Doing business as
Authorized official Bailey, Jonathan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 1st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366449571 NPPES
New Jersey MEDICAID 7642504
New Jersey Other 490003641

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