Organization Active NPI

Advanced Laparoscopic Surgery Institute, PC

  • Surgery Physician
  • Springfield, NJ
National Provider Identifier
1194922161
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA07495000 Issued in NJ
Legal business name
ADVANCED LAPAROSCOPIC SURGERY INSTITUTE, PC
Practice address
193 Morris Ave
2ND Floor
Springfield, NJ 07081-1211
Phone
(908) 481-1270
Fax
(908) 688-8861
NPI assigned
Jul 2, 2007
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Dr. Ajay GoyalNPI 1922196815
Title
MD
Phone
(908) 481-1270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25MA07495000 NJ Primary

Addresses

Primary practice location

193 Morris Ave
2ND Floor
Springfield, NJ 07081-1211

Mailing address

193 Morris Ave
2ND Floor
Springfield, NJ 07081-1211
Phone (908) 481-1270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100907000701 NJ Part B Supplier - Clinic/Group Practice 0547384950 Receives reassigned benefits from 1 practitioner
Practice locations: Hoboken, NJ; Springfield, NJ; Somerville, NJ

National Provider Directory

National Provider Directory

Locations

193 Morris Ave
#2
Springfield, NJ 07081
Phone (201) 456-5657

700 Rahway Ave
Union, NJ 07083
Phone (908) 688-1991

Practitioners & affiliated clinicians

Practitioners 1

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": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1194922161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 MORRIS AVE",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811211",
            "telephone_number": "908-481-1270",
            "fax_number": "908-688-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MORRIS AVE",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811211",
            "telephone_number": "908-481-1270",
            "fax_number": "908-688-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LAPAROSCOPIC SURGERY INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "908-481-1270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07495000",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 2014; 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.