Basic Information
Provider Information
NPI: 1649756552
EntityType: 2
ReplacementNPI:  
OrganizationName: SEAVIEW ORTHOPAEDICS & MEDICAL ASSOCIATES LLP
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 EAGLE AVE
Address2:  
City: OCEAN
State: NJ
PostalCode: 077127631
CountryCode: US
TelephoneNumber: 7326606200
FaxNumber: 7326606201
Practice Location
Address1: 1640 ROUTE 88 W STE 203
Address2:  
City: BRICK
State: NJ
PostalCode: 087243068
CountryCode: US
TelephoneNumber: 7326606200
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2018
LastUpdateDate: 06/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: LASALLE
AuthorizedOfficialFirstName: ALEXANDER
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: REVENUE CYCLE
AuthorizedOfficialTelephone: 7326606200
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: SEAVIEW ORTHOPAEDICS & MEDICAL ASSOCIATES
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home