Provider Demographics
NPI:1962702738
Name:SURGICAL STEP INC
Entity type:Organization
Organization Name:SURGICAL STEP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OFFICIAL/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHAVIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:C PED
Authorized Official - Phone:732-730-0525
Mailing Address - Street 1:175 E KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1308
Mailing Address - Country:US
Mailing Address - Phone:732-730-0525
Mailing Address - Fax:732-730-0526
Practice Address - Street 1:175 E KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1308
Practice Address - Country:US
Practice Address - Phone:732-730-0525
Practice Address - Fax:732-730-0526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6530940001Medicare NSC