Provider Demographics
NPI:1851674824
Name:GALLOPING HILL SURGICAL LLC
Entity Type:Organization
Organization Name:GALLOPING HILL SURGICAL LLC
Other - Org Name:ALLCARE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROCCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-244-4660
Mailing Address - Street 1:4470 BORDENTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-1737
Mailing Address - Country:US
Mailing Address - Phone:732-251-8000
Mailing Address - Fax:866-866-1056
Practice Address - Street 1:620 CRANBURY RD
Practice Address - Street 2:STE 211
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4098
Practice Address - Country:US
Practice Address - Phone:732-251-8000
Practice Address - Fax:866-866-1056
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PASSAIC HEALTHCARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-26
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1042980003Medicare NSC