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SHORE SURGICAL PAVILION, LLC
NPI 1154622579
Clinic/Center - Ambulatory Surgical in Lakewood, NJ

Active since November 17, 2010
475 ROUTE 70, SUITE 202, LAKEWOOD, NJ 08701(732) 730-3939(732) 730-9119 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shore Surgical Pavilion, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORE SURGICAL PAVILION, LLC (NPI 1154622579) is a healthcare organization registered as an ambulatory surgical in Lakewood, New Jersey and active in the NPI registry since November 2010. The organization lists Douglas Manganelli, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1154622579
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSHORE SURGICAL PAVILION, LLC
Location Address475 ROUTE 70, SUITE 202Lakewood, NJ 08701-5897
Mailing Address475 Route 70, Suite 202Lakewood, NJ 08701-5897 · (732) 730-3939 · Fax (732) 730-9119
Phone(732) 730-3939
Fax(732) 730-9119
Organization SubpartNo
Authorized OfficialDouglas ManganelliMedical Director · (732) 730-3939
Enumeration DateNovember 17, 2010
Last NPPES UpdateNovember 19, 2019
✔ NPI 1154622579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
475 ROUTE 70, Lakewood, NJ 08701
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH MATTHEW CAHILL DO
Obstetrics & Gynecology
475 ROUTE 70, STE 101 OCEAN GYNECOLOGICAL & OBSTETRICAL ASSOC
LAKEWOOD, NJ 08701
Ocean County (732) 364-8000
DR. JOEL M MUSICANT M.D.
Internal Medicine (Gastroenterology)
475 ROUTE 70, SUITE 103
LAKEWOOD, NJ 08701
Ocean County (732) 886-1007
DR. JOEL H KURTZ M.D.
Specialist
475 ROUTE 70, SUITE 103
LAKEWOOD, NJ 08701
Ocean County (732) 886-1007
OCEAN GYNECOLOGICAL & OBSTETRICAL ASSOCIATES, PA
Obstetrics & Gynecology
475 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 364-8000
ARTHUR MICHAEL MOLINA MD
Obstetrics & Gynecology
475 ROUTE 70, SUITE 101
LAKEWOOD, NJ 08701
Ocean County (732) 364-8000
KAITLYN MARIE SCHWENGER MSN, CNM, WHNP-BC
Advanced Practice Midwife
475 ROUTE 70
LAKEWOOD, NJ 08701
Ocean County (732) 364-8000
GASTROENTEROLOGY ASSOCIATES OF OCEAN COUNTY PA
Internal Medicine (Gastroenterology)
475 ROUTE 70, SUITE 103
LAKEWOOD, NJ 08701
Ocean County (732) 886-1007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shore Surgical Pavilion, LLC's NPI number?

The NPI number for Shore Surgical Pavilion, LLC is 1154622579. It was assigned to this organization in the NPPES registry on November 17, 2010.

Where is Shore Surgical Pavilion, LLC located?

Shore Surgical Pavilion, LLC is located at 475 Route 70 Suite 202, Lakewood, NJ 08701. The listed phone number is (732) 730-3939.

What is Shore Surgical Pavilion, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Shore Surgical Pavilion, LLC was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.