Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast ASC Partners LLC

Organization Surgery Physician · NPI 1073495768

Northeast ASC Partners LLC is a Surgery Physician in Lakewood, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

475 Route 70 Ste 201
Lakewood, NJ 08701-5897
Phone: (832) 719-8806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1073495768
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Ford — Attorney · (732) 615-7242
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address1720 Highway 34, Wall Township, NJ 07727-3991

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