Suite402Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SUITE402ASSOCIATES, LLC

Doing business as

Peninsula Vein and Laser Center

Practice address

279 3Rd Ave
Suite 402
Long Branch, NJ 07740-6211

Phone

(732) 229-8486

Fax

(732) 229-1576

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ernest Michael Ginalis, M.D.NPI 1629151048

Title

President

Phone

(732) 229-8486

Specialties & licenses 1

Addresses

Other names 1

• Peninsula Vein and Laser Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernest Michael Ginalis, M.D.

  • Surgery Physician
  • Ocean, NJ
  • NPI 1629151048
  NPD (past) Authorized official

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1851722730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 402",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406211",
            "telephone_number": "732-229-8486",
            "fax_number": "732-229-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 402",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406211",
            "telephone_number": "732-229-8486",
            "fax_number": "732-229-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUITE402ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "GINALIS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-229-8486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Vein and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen M Stansfield, RD
• Leah Neal Steinberg, DO
• Steps Along the Way
• Stewardship Network LLC
• Kathleen M Strauss, DC
• Albert Sultan, PT, DPT
• Amarpreet A Suri, DDS
• Susan Mohr MSW LCSW CHC LLC
• Myles Julian Swartz, PHARMD
• Wade Wilkins Swink III, LCSW

• Surgery Physician in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.