Organization Active NPI

Elizabeth Surgical Group LLC

  • Surgery Physician
  • Springfield, NJ
National Provider Identifier
1144211822
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ELIZABETH SURGICAL GROUP LLC
Practice address
155 Morris Ave
Secind Floor
Springfield, NJ 07081-1225
Phone
(973) 232-2300
Fax
(973) 232-2301
NPI assigned
Nov 2, 2005
Last updated
Feb 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. James Manuel Lopes, MD
Title
Doctor
Phone
(973) 232-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

155 Morris Ave
Secind Floor
Springfield, NJ 07081-1225

Mailing address

155 Morris Ave
Second Floor
Springfield, NJ 07081-1225
Phone (973) 232-2300

Other identifiers 1

IdentifierTypeStateIssuer
0055158MedicaidNJ

National Provider Directory

National Provider Directory

Locations

700 N Broad St
Ste 301
Elizabeth, NJ 07208
Phone (908) 354-2138

155 Morris Ave
Fl 2
Springfield, NJ 07081
Phone (973) 232-2300

155 Morris Ave
Fl Secind
Springfield, NJ 07081
Phone (973) 232-2300

155 Morris Ave
Fl Second
Springfield, NJ 07081
Phone (973) 232-2300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1144211822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MORRIS AVE",
            "address_2": "SECOND FLOOR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811225",
            "telephone_number": "973-232-2300",
            "fax_number": "973-232-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MORRIS AVE",
            "address_2": "SECIND FLOOR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811225",
            "telephone_number": "973-232-2300",
            "fax_number": "973-232-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-232-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055158",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.