LSA SURGERY & CONSULTATION PC NPI 1134463409

NPI Information

NPI: 1134463409
Provider Name: LSA SURGERY & CONSULTATION PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
145 PROSPECT ST
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 444-4412
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LSA SURGERY & CONSULTATION PC is a medical specialty clinic center in Ridgewood, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LSA SURGERY & CONSULTATION PC NPI is 1134463409. The provider is registered as an organization entity type.

The provider's business location address is:

145 PROSPECT ST
RIDGEWOOD, NJ
ZIP 07450-493
Phone: (201) 444-4412

The provider's authorized official is Nino J. Carnevale .
The authorized official title is President and has the following contact phone number (201) 444-4412.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	25MA02025300	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	023599	OTHER	NEW JERSEY	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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