Provider Demographics
NPI:1689033938
Name:SEAVIEW ORTHOPAEDICS & MEDICAL ASSOCIATES LLP
Entity Type:Organization
Organization Name:SEAVIEW ORTHOPAEDICS & MEDICAL ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:LASALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-660-6200
Mailing Address - Street 1:1200 EAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-7631
Mailing Address - Country:US
Mailing Address - Phone:732-660-6200
Mailing Address - Fax:732-493-9981
Practice Address - Street 1:294 APPLEGARTH RD
Practice Address - Street 2:STE C
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-3798
Practice Address - Country:US
Practice Address - Phone:732-660-6200
Practice Address - Fax:732-493-9981
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEAVIEW ORTHOPAEDICS & MEDICAL ASSOCIATES LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-15
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
106436Medicare PIN