# LAKEWOOD SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1780673327
- **Authorized official:** MR. JONATHAN BAILEY MHA (OFFICER/AO)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 1215 ROUTE 70, SUITE 2000, LAKEWOOD, NJ 08701-5947
- **Practice address phone:** (732) 719-1800
- **Practice address fax:** (732) 719-1801
- **Mailing address:** 1215 ROUTE 70, SUITE 2000, LAKEWOOD, NJ 08701-5947
- **Mailing address phone:** (732) 719-1800
- **Mailing address fax:** (732) 719-1801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 23286 | NJ | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 10/11/2024