Seashore Surgical Institute, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

23141 Issued in NJ

Legal business name

SEASHORE SURGICAL INSTITUTE, LLC

Practice address

495 Jack Martin Blvd
Brick, NJ 08724-7732

Phone

(732) 836-9800

Fax

(732) 836-3077

NPI assigned

Mar 1, 2007

Last updated

Jul 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Joseph Pecoraro, MDNPI 1700861044

Title

President

Phone

(732) 836-9800

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Seashore Surgical InstituteCCN 31C0001166

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Virtua - Memorial Hospital Burlington County, Inc

  dba Memorial Hospital of Burlington County - Psychiatry Unit

  • Psychiatric Hospital Unit
  • Mount Holly, NJ
  • NPI 1174529846

  Member Of

  NPD member

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.

• Michael Joseph Pecoraro, M.D.

  • Specialist
  • Brick, NJ
  • NPI 1700861044
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1184752305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-836-9800",
            "fax_number": "732-836-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-836-9800",
            "fax_number": "732-836-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE SURGICAL INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "PECORARO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-836-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "23141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC BS OF NJ",
            "identifier": "001188",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J29601",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A2951537",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00083923",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Scott
• Shannon Scott
• Sea Shore Plastic and Hand Surgery Center
• Jessica Bautista Seares, M.D.
• Petronilo Lizardo Seares Jr., M.D.
• Seaview Orthopaedics & Medical Associates LLP
• Seaview Orthopaedics & Medical Associates LLP
• Suniti Sebastian, M.D
• Shawnee Z Sebbag, MD
• Murray Jay Seltzer, D.M.D.

• Ambulatory Surgical Clinic/Center in Brick, NJ
• Providers in Brick, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.