Advanced Laparoscopic Surgery Institute, PC
Organization Active NPI Surgery Physician · Springfield, NJ
NPI 1194922161 · NPPES record last updated Feb 6, 2014
Key facts
- NPI
- 1194922161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 25MA07495000 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Ajay Goyal
- Title
- MD
- Phone
- (908) 481-1270
Practitioners 1
-
Ajay Goyal, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
193 Morris Ave
Springfield, NJ 07081
Phone (908) 481-1270
193 Morris Ave
#2
Springfield, NJ 07081
Phone (201) 456-5657
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 25MA07495000 | NJ | Yes |
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
Other providers in Springfield, NJ
- Acute Care Surgical Associates LLC
- Michael D Addis
- Adenike Folake Adetule
- Olubunmi Adetule
- Advanced Integrated Health LLC
- Advanced Laparoscopic Surgery of Union County LLC
- Advanced Rehab Solutions LLC
- Lisa Afflitto
- Lizbeth Aguirre
- Amanda Marie Ahearn
All providers in Springfield, NJ · Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.