NPIMap

Organization Active NPI

Lakewood Surgical Group PA

  • Specialist
  • Toms River, NJ
National Provider Identifier
1013089499
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LAKEWOOD SURGICAL GROUP PA
Practice address
9 Hospital Drive
Suite C23
Toms River, NJ 08755-6425
Phone
(732) 341-0470
Fax
(732) 341-0473
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Wanda M Pretto
Title
Office Manager
Phone
(732) 341-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9 Hospital Drive
Suite C23
Toms River, NJ 08755-6425

Mailing address

9 Hospital Drive
Suite C23
Toms River, NJ 08755-6425
Phone (732) 341-0470

Other identifiers 5

IdentifierTypeStateIssuer
1018813OtherNJNEW JERSEY HEALTH
CA6841OtherNJRR MEDICARE
169045OtherNJUNITEDHEALTHCARE
0099331000OtherNJAMERIHEALTH
0112415OtherNJAETNA HMO

National Provider Directory

National Provider Directory

Locations

9 Hospital Dr
Ste C23
Toms River, NJ 08755
Phone (732) 341-0470

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1013089499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DRIVE",
            "address_2": "SUITE C23",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-341-0470",
            "fax_number": "732-341-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DRIVE",
            "address_2": "SUITE C23",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-341-0470",
            "fax_number": "732-341-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD SURGICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "PRETTO",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-341-0470",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY HEALTH",
            "identifier": "1018813",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA6841",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "169045",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0099331000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0112415",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.