Active NPI
Northeast Surgi-Care, LLC
- Ambulatory Surgical Clinic/Center
- Lakewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NORTHEAST SURGI-CARE, LLC
- Practice address
- 475 Route 70 Ste 202
Lakewood, NJ 08701-5897 - Phone
- (732) 730-3939
- Fax
- (732) 730-9119
- NPI assigned
- Jul 22, 2024
- 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
- Dimitrios Lambrou, DC
- Title
- Member
- Phone
- (732) 714-0070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
475 Route 70 Ste 202
Lakewood, NJ 08701-5897
Mailing address
475 Route 70 Ste 202
Lakewood, NJ 08701-5897
Phone (732) 730-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250606002607 | NJ | Part B Supplier - Ambulatory Surgical Center | 2567738461 | Practice locations: Lakewood, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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 |
|---|---|---|---|
| 31D2027255 | Northeast Surgi-Care, LLC | Certificate of waiver | Jul 19, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Northeast Surgi-Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Lakewood, NJ
- NPI 1053566513
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Point Pleasant Beach, NJ
- NPI 1184684482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1194553248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 ROUTE 70 STE 202",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015897",
"telephone_number": "732-730-3939",
"fax_number": "732-730-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 ROUTE 70 STE 202",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015897",
"telephone_number": "732-730-3939",
"fax_number": "732-730-9119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST SURGI-CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A",
"authorized_official_last_name": "LAMBROU",
"authorized_official_first_name": "DIMITRIOS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "732-714-0070",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"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 22, 2024; 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.