Larisa Gershman Medical Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07011700 Issued in NJ

Legal business name

LARISA GERSHMAN MEDICAL CENTER PC

Practice address

191 Hamburg Tpke Ste 2B
Pompton Lakes, NJ 07442-2332

Phone

(973) 248-9446

Fax

(973) 248-9445

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Larisa K Gershman, MD

Title

President

Phone

(973) 248-9446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1174715817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE STE 2B",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422332",
            "telephone_number": "973-248-9446",
            "fax_number": "973-248-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE STE 2B",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422332",
            "telephone_number": "973-248-9446",
            "fax_number": "973-248-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISA GERSHMAN MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "GERSHMAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-248-9446",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07011700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Kuney, LPC
• Catherine E Laico, PT
• Angela Landwehr, M.S.W.
• Samantha Landwehr
• Stephanie Landwehr, LCSW
• Laser Surgery New Jersey
• Louis Meyer Lees, DDS
• Leslie Karen Lobell, L.P.C.
• Louis M Lees DDS PA
• Stacey Lukowiak, LCSW, LCAD,CCS

• Internal Medicine Physician in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.