# NEW JERSEY CRITICAL CARE SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679240774
- **Authorized official:** JOHN W. GORECHLAD MD (OWNER)
- **Authorized official phone:** (848) 250-9361

## Contact information

- **Practice address:** 600 RIVER AVE, LAKEWOOD, NJ 08701-5237
- **Practice address phone:** (848) 275-1805
- **Mailing address:** 11 BROOKSIDE DR, RUMSON, NJ 07760-1005
- **Mailing address phone:** (848) 275-1805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | Yes |
| 2086S0102X | Surgical Critical Care Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 12/29/2021