SHORE SURGICAL ASSISTING LLC
NPI 1235497561
Physician Assistant - Surgical in Manahawkin, NJ
About Shore Surgical Assisting Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHORE SURGICAL ASSISTING LLC (NPI 1235497561) is a healthcare organization registered as a surgical in Manahawkin, New Jersey and active in the NPI registry since April 2012. The organization lists Donn M Hoosack, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shore Surgical Assisting Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 Assisting LLC's NPI number?
The NPI number for Shore Surgical Assisting LLC is 1235497561. It was assigned to this organization in the NPPES registry on April 24, 2012.
Where is Shore Surgical Assisting LLC located?
Shore Surgical Assisting LLC is located at 1070 Clearwater Ave, Manahawkin, NJ 08050. The listed phone number is (732) 236-1104.
What is Shore Surgical Assisting LLC's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Shore Surgical Assisting LLC enrolled in Medicare?
Yes. Shore Surgical Assisting LLC is registered in the Medicare PECOS enrollment system.
When is Shore Surgical Assisting LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Shore Surgical Assisting LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shore Surgical Assisting Llc · NPI 1235497561
Surgical organization in Manahawkin, New Jersey. Organization record, active in the CMS NPPES registry since April 24, 2012.
## Identity
- **NPI:** 1235497561 (Entity type: Organization)
- **Enumerated:** April 24, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Organization subpart:** No
- **Authorized official:** Donn Hoosack, OWNER
## Practice location
- **Address:** 1070 CLEARWATER AVE, Manahawkin, NJ 08050-2303
- **Phone:** (732) 236-1104 · **Fax:** (609) 978-2750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 25MP00132300 (NJ); Other A00006300 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1235497561) · Data from the CMS NPPES public registry.