Lawrence Mark Gorzelnik, MD DMD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DI16442 Issued in NJ

Practice address

100 Kings Rd
Madison, NJ 07940-2631

Phone

(973) 966-6699

Fax

(973) 966-6619

NPI assigned

Mar 13, 2007

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rutgers Health -University Dental Associates

  • Endodontics
  • Newark, NJ
  • NPI 1346454584
  Medicare reassignment NPD
• Aesthetic and Reconstructive Surgery, L.L.C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Madison, NJ
  • NPI 1679938740
  Authorized official Same address or phone
• Rutgers Health Dental Associates Os-NWK

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, NJ
  • NPI 1023766086
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1235262064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079610362",
            "telephone_number": "973-966-6699",
            "fax_number": "973-966-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS RD",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402631",
            "telephone_number": "973-966-6699",
            "fax_number": "973-966-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORZELNIK",
        "first_name": "LAWRENCE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI16442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Sabellano Go Jr., P.T.
• Nrupaben Hirenkumar Gonsai
• Leticia Ramos Gonzalez, M.D.
• Meredith Gonzenbach, LPC
• Denise Gormley, ATC
• Grace Counseling Center
• Lisa R Greenberg, PH.D.
• Kathleen Griffin, L.P.C.
• Christopher Edward Guarino, PHD
• Nunzio David Gubitosa, M.A., M.PHIL.

• Oral & Maxillofacial Surgery (D.M.D.) in Madison, NJ
• Providers in Madison, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.