Active NPIIndividual provider

Loki Skylizard, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Long Branch, New Jersey

NPI Number1326110081
Practice location
166 Morris Ave, 2ND Fl, Long Branch, NJ 07740-6619
Fax
732-263-5029
Last updated
March 14, 2013

Loki Skylizard is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Long Branch, NJ. Loki Skylizard practices in Long Branch, NJ and has the professional credentials of MD. The NPI Number for Loki Skylizard is 1326110081 and holds a License No. 219576 (MA). The current practice location address for Loki Skylizard is 166 Morris Ave, 2ND Fl, Long Branch, NJ 07740-6619 and can be reached out via phone at 732-263-5024 and via fax at 732-263-5029.

Provider Profile Details

NPI Number
1326110081
Provider Name
Loki Skylizard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
166 Morris Ave, 2ND Fl, Long Branch, NJ 07740-6619
Phone Number
732-263-5024
Fax Number
732-263-5029
Sole Proprietor
No
Provider Enumeration Date
November 15, 2006
Last Update Date
March 14, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Morris Ave
2ND Fl
Long Branch, NJ 07740-6619
Zip
07740-6619
Phone Number
732-263-5024
Fax Number
732-263-5029
Long Branch, NJ 07740Get directions →

Provider Business Mailing Address Details

Address
Po Box 8000
Dept 596
Buffalo, NY 14267-0002
City
Buffalo
State
NY
Zip
14267-0002
Phone Number
866-295-0041
Fax Number
708-342-2517

License Information

License Number (1)
219576
License State (1)
MA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
MD28398
License State (2)
AL
License Number (3)
MD442847
License State (3)
PA
Taxonomy (3)
· 2086S0129X
License Number (4)
25MA09252000
License State (4)
NJ
Taxonomy (4)
Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Loki Skylizard, MD?

The NPI number of Loki Skylizard, MD is 1326110081. It was assigned on November 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Loki Skylizard, MD?

Loki Skylizard, MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in MA under license number 219576.

Where does Loki Skylizard, MD practice?

The practice location is 166 Morris Ave, 2ND Fl, Long Branch, NJ 07740-6619. The office can be reached at 732-263-5024 (phone) or 732-263-5029 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326110081 directly on the NPPES registry website.

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