LSA SURGERY & CONSULTATION PC (NPI# 1134463409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134463409 |
| Entity Type | Organization |
| Organization Name | LSA SURGERY & CONSULTATION PC |
| Practice Address |
145 Prospect St Ridgewood NJ 07450-4493 |
| Practice Telephone | 2014444412 |
| Mailing Telephone | 2014444412 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | NINO J. CARNEVALE (PRESIDENT) |
| Authorized Official Telephone | 2014444412 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
25MA02025300 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE PTAN | 023599 | 01 |
| Street Address |
145 PROSPECT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285695015 | Homayoon Hatefi | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450 | 2006-03-31 |
| 1053621318 | M.a. Ferrer Physical Therapy LLC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-10-20 |
| 1972817955 | Orthosports and Spine Physical Therapy PC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-08-02 |
| 1346426087 | Homayoon Hatefi M.d. Pa | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2008-01-11 |
| 1558484923 | Marie Angelie Ferrer | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2007-04-09 |
| 1649386020 | Michael Peter Gentile Sr. | Psychiatry & Neurology | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-08-21 |
| 1699704536 | North Jersey Surgical Associates, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-07-02 |
| 1306891031 | Youngick Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 145 Prospect St, Ridgewood, NJ 07450 | 2006-05-23 |
| 1477502078 | New Jersey Breast Diagnostic Center, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-05-09 |
| 1972565984 | Nino J Carnevale | Surgery | 145 Prospect St, Ridgewood, NJ 07450 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295249100 | Ridgewoods Obstetrics & Gynecology | Clinic/Center | 6605 Fresh Pond Rd, Ridgewood, NY 11385-3334 | 2017-11-30 |
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| 1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
| 1578129490 | Beaute Medispa, LLC | Clinic/Center | 195 Route 9 Ste 101, Manalapan, NJ 07726-8294 | 2019-05-16 |
| 1437627023 | Point Pediatrics | Clinic/Center | 800 Route 88 Ste 3, Point Pleasant Boro, NJ 08742-4085 | 2018-11-13 |
| 1770067126 | Skin Cancer and Cosmetic Surgery Center of New Jersey, LLC | Clinic/Center | 10 Parsonage Rd Ste 312, Edison, NJ 08837-2429 | 2018-09-21 |
| 1780165100 | Renew Med Spa and Clinic LLC | Clinic/Center | 601 Hamburg Tpke Ste 101, Wayne, NJ 07470-2049 | 2018-08-23 |
| 1497243232 | Tristate Multispecialty Medical Services PC | Clinic/Center | 126 State St Fl 1, Hackensack, NJ 07601-5448 | 2018-04-26 |
| 1285136226 | Robinson-gallaro Gi Health & Solutions | Clinic/Center | 717 N Beers St Ste 2c, Holmdel, NJ 07733-1525 | 2018-03-06 |
| 1821505462 | Integrative Wellness & Cosmetics, Inc | Clinic/Center | 601 9th St, Hoboken, NJ 07030-6428 | 2018-01-04 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.