Organization Active NPI

Ocean Wound and Vascular Center LLC

  • Vascular Surgery Physician
  • Lakewood, NJ
National Provider Identifier
1104721323
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
OCEAN WOUND AND VASCULAR CENTER LLC
Practice address
144 Coles Way
Lakewood, NJ 08701-4885
Phone
(845) 901-7289
NPI assigned
Oct 8, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Elysse LernerNPI 1912373721
Title
Owner
Phone
(845) 901-7289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary

Addresses

Primary practice location

144 Coles Way
Lakewood, NJ 08701-4885

Mailing address

144 Coles Way
Lakewood, NJ 08701-4885

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1104721323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 COLES WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 COLES WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014885",
            "telephone_number": "845-901-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN WOUND AND VASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "ELYSSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-901-7289"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular 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 Oct 19, 2026; 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.