Northeast Surgery Associates LLC
Organization Active NPI Orthopaedic Surgery Physician · Manasquan, NJ
NPI 1356929632 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1356929632
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dimitros Lambrou, DC
- Title
- Owner
- Phone
- (732) 714-0070
Practitioners 30
-
Rick Caban, DC
-
Michael Culbert, DC
-
Alyssa Diaz, DPT
-
Nicole M. Fullaway, DPT
-
Alan Louis Guy, M.D.
-
Denise Krisitin Maldonado, PT, DPT
-
Robert Perniola, DPT
-
Peter Andrew Quinn, DPT
-
Alexandra Raguseo, DPT, PT
-
Mina K Shenouda, MD
-
Roy Taborda, MD
-
Madelyn Black, MOT, OTR/L
-
Jack Edward Croken, OTR/L
-
Stacey Franz, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210513000343 | NJ | Part B Supplier - Clinic/Group Practice | 1254740715 |
Receives reassigned benefits from 1 practitioner Practice locations: Lincroft, NJ |
National Provider Directory
Locations
5 Swimming River Rd
Lincroft, NJ 07738
Phone (732) 451-4578
2440 Route 34
Manasquan, NJ 08736
Phone (732) 612-9948
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
2440 Route 34
Manasquan, NJ 08736-1808
Mailing address
2440 Route 34
Manasquan, NJ 08736-1808
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All providers in Manasquan, NJ · Orthopaedic Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.