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

Shore Surgical Pavilion, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1154622579

Shore Surgical Pavilion, LLC is an Ambulatory Surgical Clinic/Center in Lakewood, New Jersey. Registered with an NPI since 2010.

In the registry since
2010
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 202
Lakewood, NJ 08701-5897
Phone: (732) 730-3939
Fax: (732) 730-9119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1154622579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Manganelli — Medical Director · (732) 730-3939
NPI enumeratedNovember 17, 2010
Last updated in NPPESNovember 19, 2019
Mailing address475 Route 70, Suite 202, Lakewood, NJ 08701-5897

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