Organization Active NPI

Laparoscopic Specialty Surgical Associates

  • Surgery Physician
  • Shrewsbury, NJ
National Provider Identifier
1497776116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA66353 Issued in NJ
Legal business name
LAPAROSCOPIC SPECIALTY SURGICAL ASSOCIATES
Practice address
1131 Broad St
Suite 105
Shrewsbury, NJ 07702-4329
Phone
(732) 389-1331
Fax
(732) 542-8587
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jeanne Westendorf, CPC
Title
Office Manager
Phone
(732) 389-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MA66353 NJ Primary

Addresses

Primary practice location

1131 Broad St
Suite 105
Shrewsbury, NJ 07702-4329

Mailing address

1131 Broad St
Suite 105
Shrewsbury, NJ 07702-4329
Phone (732) 389-1331

National Provider Directory

National Provider Directory

Locations

1131 Broad St
Ste 105
Shrewsbury, NJ 07702
Phone (732) 389-1331

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497776116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BROAD ST",
            "address_2": "SUITE 105",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024329",
            "telephone_number": "732-389-1331",
            "fax_number": "732-542-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BROAD ST",
            "address_2": "SUITE 105",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024329",
            "telephone_number": "732-389-1331",
            "fax_number": "732-542-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPAROSCOPIC SPECIALTY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTENDORF",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-389-1331",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA66353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.