Lsa Surgery & Consultation PC
Lsa Surgery & Consultation PC is a healthcare organization registered as Medical Specialty Clinic/Center in Ridgewood, NJ, holding Type 2 (organization) NPI 1134463409 since 2012. The authorized official on file is Nino Carnevale, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134463409 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lsa Surgery & Consultation PC |
| Practice address | 145 PROSPECT ST, Ridgewood, NJ, 07450 |
| Phone | 2014444412 |
| Enumeration date | 2012-11-26 |
| Last updated in NPPES | 2012-11-26 |
Authorized official
| Name | Nino Carnevale |
|---|---|
| Title | President |
| Phone | 2014444412 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Primary | 25MA02025300 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023599 | Other | NJ | MEDICARE PTAN |
Copy-ready billing details
Provider: Lsa Surgery & Consultation PC NPI: 1134463409 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 145 PROSPECT ST, Ridgewood, NJ, 07450
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285695015 | Homayoon Hatefi | Individual | Gastroenterology Physician | Ridgewood, NJ |
| 1477502078 | New Jersey Breast Diagnostic Center, PA | Organization | Specialist | Ridgewood, NJ |
| 1306891031 | Youngick Lee | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Ridgewood, NJ |
| 1699704536 | North Jersey Surgical Associates, PA | Organization | Specialist | Ridgewood, NJ |
| 1649386020 | Michael Gentile | Individual | Forensic Psychiatry Physician | Ridgewood, NJ |
| 1558484923 | Marie Ferrer | Individual | Physical Therapist | Ridgewood, NJ |
| 1346426087 | Homayoon Hatefi M.D. PA | Organization | Gastroenterology Physician | Ridgewood, NJ |
| 1972817955 | Orthosports and Spine Physical Therapy PC | Organization | Physical Therapist | Ridgewood, NJ |
Verify this record
Cross-check NPI 1134463409 against the authoritative CMS record: view Lsa Surgery & Consultation PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Lsa Surgery & Consultation PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-26.