Organization Active NPI

Northeast ASC Partners LLC

  • Surgery Physician
  • Lakewood, NJ
National Provider Identifier
1073495768
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2344363Northeast ASC Partners475 Route 70, Lakewood, NJ 08701Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.