LSA SURGERY & CONSULTATION PC – NPI #1134463409
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

LSA SURGERY & CONSULTATION PC is an AHC clinic located in RIDGEWOOD, NJ. NPPES has assigned the NPI number 1134463409 to LSA SURGERY & CONSULTATION PC on November 26, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LSA SURGERY & CONSULTATION PC below.

NPI Profile for
LSA SURGERY & CONSULTATION PC

NPI Number
1134463409
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LSA SURGERY & CONSULTATION PC
Primary location
145 PROSPECT ST
RIDGEWOOD, NJ 07450-4493
Phone: (201) 444-4412 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NINO CARNEVALE
PRESIDENT
Phone: (201) 444-4412
Updated
Identifiers

Identifiers for LSA SURGERY & CONSULTATION PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANNJ023599
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)		 NJ 25MA02025300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.