Organization
SHORE SURGICAL ASSISTING LLC
Active
Organization
SHORE SURGICAL ASSISTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONN M HOOSACK PA-C (OWNER)
(732) 236-1104
Entity
Organization
Contact information
Practice address
1070 CLEARWATER AVE, MANAHAWKIN, NJ 08050-2303
(732) 236-1104
(609) 978-2750
Mailing address
1070 CLEARWATER AVE, MANAHAWKIN, NJ 08050-2303
(732) 236-1104
(609) 978-2750
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00132300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00132300
PHYSICIAN ASSISTANT LICENSE
NJ
01
—
A00006300
CDS
NJ
Enumeration date
04/24/2012
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up