NPIMap

Organization Active NPI

Northeast Surgery Associates LLC

  • Orthopaedic Surgery Physician
  • Manasquan, NJ
National Provider Identifier
1356929632
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NORTHEAST SURGERY ASSOCIATES LLC
Practice address
2440 Route 34
Manasquan, NJ 08736-1808
Phone
(732) 612-9948
Fax
(732) 529-2866
NPI assigned
Mar 30, 2021
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Dimitros Lambrou, DC
Title
Owner
Phone
(732) 714-0070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2440 Route 34
Manasquan, NJ 08736-1808

Mailing address

2440 Route 34
Manasquan, NJ 08736-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210513000343 NJ Part B Supplier - Clinic/Group Practice 1254740715 Receives reassigned benefits from 1 practitioner
Practice locations: Lincroft, NJ

National Provider Directory

National Provider Directory

Locations

2440 Route 34
Manasquan, NJ 08736
Phone (732) 612-9948

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1356929632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361808",
            "telephone_number": "732-612-9948",
            "fax_number": "732-529-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "LAMBROU",
        "authorized_official_first_name": "DIMITROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-714-0070",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.