Larisa K Gershman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07011700 Issued in NJ

Practice address

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

Phone

(973) 248-9446

Fax

(973) 248-9445

NPI assigned

Feb 10, 2006

Last updated

Oct 26, 2007By the provider in NPPES

Sex

Female

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 FL

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

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.14 of 100Reported as individual

Quality

20

Improvement activities

0

Cost

43.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Larisa Gershman Medical Center PC

  • Internal Medicine Physician
  • Pompton Lakes, NJ
  • NPI 1174715817
  Authorized official Same address or phone
• Michael J. Conn, M.D., P.C.

  • Plastic and Reconstructive Surgery Physician
  • Teaneck, NJ
  • NPI 1114135217
  NPD (past)
• Physicians Health Alliance PA

  • Cardiovascular Disease Physician
  • Wayne, NJ
  • NPI 1528047842

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1447223201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 HAMBURG TPKE",
            "address_2": "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",
            "address_2": "2B",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422332",
            "telephone_number": "973-248-9446",
            "fax_number": "973-248-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHMAN",
        "first_name": "LARISA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07011700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fuad a Ahmad MD PA
• Rosemarie Louise Gala, L.P.C.
• John Galvany, ATC
• Garden State Neuro Stimulation LLC (Garden State Neuro)
• Maria Gerasimova, RN
• Laurel A Giegerich
• Margaret Ann Gill, LPC,
• Joseph G Giuliano, DDS
• Joyce Graham, LPC
• Great Atlantic & Pacific Tea Company Inc (A & P Pharmacy)

• 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 26, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.