Provider Demographics
NPI:1972761351
Name:GALLOPING HILL SURGICAL LLC
Entity Type:Organization
Organization Name:GALLOPING HILL SURGICAL LLC
Other - Org Name:ALLCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-251-8000
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:732-238-1556
Practice Address - Street 1:4500 BORDENTOWN AVE
Practice Address - Street 2:
Practice Address - City:SAYREVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08872-1785
Practice Address - Country:US
Practice Address - Phone:732-251-8000
Practice Address - Fax:732-238-1556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1042980002Medicare NSC