Provider Demographics
NPI:1467466037
Name:CAPE ASSOCIATES IN SURGERY PA
Entity Type:Organization
Organization Name:CAPE ASSOCIATES IN SURGERY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:SALASIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-465-3939
Mailing Address - Street 1:8 COURT HOUSE SOUTH DENNIS RD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1967
Mailing Address - Country:US
Mailing Address - Phone:609-465-3939
Mailing Address - Fax:609-465-4042
Practice Address - Street 1:8 COURT HOUSE SOUTH DENNIS RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1967
Practice Address - Country:US
Practice Address - Phone:609-465-3939
Practice Address - Fax:609-465-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03080500207QA0505X, 207QG0300X, 207QH0002X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0573911000OtherAMERIHEALTH
PA983564OtherHIGHMARK & AMER ADMIN
CF1720OtherRAILROAD MEDICARE
0012043OtherAETNA
NJ2616700Medicaid
0573911000OtherAMERIHEALTH