SHORE OUTPATIENT SURGICENTER LLC
NPI 1366449571
Clinic/Center - Ambulatory Surgical in Lakewood, NJ

Active since July 01, 2005CLIA 31D0937892 · Waiver
360 ROUTE 70, LAKEWOOD, NJ 08701(732) 942-9835(732) 886-1573 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shore Outpatient Surgicenter Llc NPPES

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

SHORE OUTPATIENT SURGICENTER LLC (NPI 1366449571) is a healthcare organization registered as an ambulatory surgical in Lakewood, New Jersey and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through December 23, 2027 and lists Jonathan Bailey, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366449571
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSHORE OUTPATIENT SURGICENTER LLC
Location Address360 ROUTE 70Lakewood, NJ 08701-5823
Mailing Address360 Route 70Lakewood, NJ 08701-5823 · (732) 942-9835 · Fax (732) 886-1573
Fax(732) 886-1573
Organization SubpartNo
Authorized OfficialJonathan BaileyAuthorized Official · (203) 609-1168
Enumeration DateJuly 1, 2005
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1366449571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NJ · 22372
360 ROUTE 70, Lakewood, NJ 08701

Other Identifiers 2

Medicaid7642504NJ
Other490003641NJ · Railroad Medicare

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0937892

Shore Outpatient Surgicenter · Lakewood, NJ
Active · expires Dec 23, 2027
CLIA Number31D0937892
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 24, 2025
Certificate Expiration DateDecember 23, 2027
Laboratory DirectorTrisha Apanel
Laboratory Phone(732) 942-9835
Laboratory LocationShore Outpatient Surgicenter360 Route 70, Lakewood, NJ 08701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 40

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,700 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
907 services895 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
817 services812 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
712 services704 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
537 services452 patients
Insertion of tube into ureter using an endoscope through bladder area 52005
This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.
304 services277 patients

Other Providers at the Same Location NPPES 4

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

Nurse Anesthetist, Certified Registered
360 ROUTE 70
LAKEWOOD, NJ 08701
Nurse Anesthetist, Certified Registered
360 ROUTE 70
LAKEWOOD, NJ 08701
Nurse Anesthetist, Certified Registered
360 ROUTE 70
LAKEWOOD, NJ 08701
Anesthesiology
360 ROUTE 70
LAKEWOOD, NJ 08701

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 Outpatient Surgicenter LLC's NPI number?

The NPI number for Shore Outpatient Surgicenter LLC is 1366449571. It was assigned to this organization in the NPPES registry on July 1, 2005.

Where is Shore Outpatient Surgicenter LLC located?

Shore Outpatient Surgicenter LLC is located at 360 Route 70, Lakewood, NJ 08701. The listed phone number is (732) 942-9835.

What is Shore Outpatient Surgicenter LLC's specialty?

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

Does Shore Outpatient Surgicenter LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0937892) is associated with this NPI, valid through December 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shore Outpatient Surgicenter LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Shore Outpatient Surgicenter LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shore Outpatient Surgicenter LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.