Provider Demographics
NPI:1477508463
Name:CAPE CATARACT CENTER, PC
Entity Type:Organization
Organization Name:CAPE CATARACT CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-463-1525
Mailing Address - Street 1:804 S ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2358
Mailing Address - Country:US
Mailing Address - Phone:609-463-1525
Mailing Address - Fax:609-463-1528
Practice Address - Street 1:804 S ROUTE 9
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2358
Practice Address - Country:US
Practice Address - Phone:609-463-1525
Practice Address - Fax:609-463-1528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0006793Medicaid
NJ069944Medicare ID - Type Unspecified