Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Shore Surgical Pavilion, LLC

Q: What is the NPI number for Shore Surgical Pavilion, LLC?

The NPI for Shore Surgical Pavilion, LLC is 1154622579, a Type 2 (organization) record in the CMS NPPES registry.

Ambulatory Surgical Clinic/Center in Lakewood, NJ · enumerated 2010 · authorized official Douglas Manganelli, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154622579

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Registry record

Entity type Organization (Type 2)

Legal business name Shore Surgical Pavilion, LLC

Practice address 475 Route 70, Suite 202, Lakewood, NJ, 08701

Phone (732) 730-3939

Fax (732) 730-9119

Enumeration date Nov 17, 2010

Last updated in NPPES Nov 19, 2019

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Douglas Manganelli

Title Medical Director

Phone (732) 730-3939

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 → Validate an NPI →

Frequently asked questions

Who is the authorized official for Shore Surgical Pavilion, LLC?

NPPES lists Douglas Manganelli (Medical Director) as the authorized official for this organization.

What is the NPI number for Shore Surgical Pavilion, LLC?

The NPI for Shore Surgical Pavilion, LLC is 1154622579, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-11-19.