Active NPI
Northeast ASC Partners LLC
- Surgery Physician
- Lakewood, NJ
National Provider Identifier
1073495768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NORTHEAST ASC PARTNERS LLC
- Practice address
- 475 Route 70 Ste 201
Lakewood, NJ 08701-5897 - Phone
- (832) 719-8806
- NPI assigned
- Jul 23, 2025
- Last updated
- Jul 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Ford
- Title
- Attorney
- Phone
- (732) 615-7242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
475 Route 70 Ste 201
Lakewood, NJ 08701-5897
Mailing address
1720 Highway 34
Wall Township, NJ 07727-3991
Phone (732) 749-3900
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2344363 | Northeast ASC Partners | Certificate of waiver | May 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
1720 Highway 34
Wall Township, NJ 07727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1073495768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 HIGHWAY 34",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077273991",
"telephone_number": "732-749-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 ROUTE 70 STE 201",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015897",
"telephone_number": "832-719-8806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST ASC PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "ATTORNEY",
"authorized_official_telephone_number": "732-615-7242"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.