Shore Surgical Pavilion, LLC
NPI 1154622579 · Ambulatory Surgical Clinic/Center · Lakewood, NJ
Shore Surgical Pavilion, LLC is a Ambulatory Surgical Clinic/Center organization in Lakewood, NJ (NPI 1154622579).
Provider details
- NPI number
- 1154622579
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Manganelli, Medical Director(732) 730-3939
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-17
- Last updated
- 2019-11-19
Frequently asked questions
- What is Shore Surgical Pavilion, LLC's NPI number?
- Shore Surgical Pavilion, LLC's National Provider Identifier (NPI) is 1154622579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shore Surgical Pavilion, LLC?
- Shore Surgical Pavilion, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shore Surgical Pavilion, LLC located?
- Shore Surgical Pavilion, LLC's practice location on file with NPPES is 475 Route 70, Lakewood, NJ 08701-5897.
- What is Shore Surgical Pavilion, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shore Surgical Pavilion, LLC is (732) 730-3939.
- Who is the authorized official for Shore Surgical Pavilion, LLC?
- The authorized official listed on Shore Surgical Pavilion, LLC's NPPES record is Douglas Manganelli, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shore Surgical Pavilion, LLC's NPI active?
- Yes — Shore Surgical Pavilion, LLC's NPI (1154622579) is active in the NPPES registry as of the last update on 2019-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.