Lsa Surgery & Consultation PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA02025300 Issued in NJ

Legal business name

LSA SURGERY & CONSULTATION PC

Practice address

145 Prospect St
Ridgewood, NJ 07450-4493

Phone

(201) 444-4412

NPI assigned

Nov 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nino J. Carnevale, M.D.

Title

President

Phone

(201) 444-4412

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1134463409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PROSPECT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504493",
            "telephone_number": "201-444-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PROSPECT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504493",
            "telephone_number": "201-444-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSA SURGERY & CONSULTATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "CARNEVALE",
        "authorized_official_first_name": "NINO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-4412",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA02025300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "023599",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Lopez, APN
• Nicole J Loprinzi, PA-C
• Joseph A Lota, DMD
• Gary Russell Louizides, RNFA, SA-C
• Viviana Patricia Lozano, APN, FNP-BC
• Edita Petilos Luansing, WHNP-BC
• Sharon E Luberto, PT
• Claudia J Lucas, PA-C
• Katrine Valentina Luddy, PA-C
• Alba Ludmer, PSYCHOLOGIST

• Medical Specialty Clinic/Center in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.