NPIMap

Organization Active NPI

Advanced Laparoscopic Specialists LLC

  • Surgery Physician
  • Suffern, NY
National Provider Identifier
1497996359
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVANCED LAPAROSCOPIC SPECIALISTS LLC
Practice address
11 N Airmont Rd
Suite A10
Suffern, NY 10901-5103
Phone
(845) 368-1500
Fax
(845) 368-1501
NPI assigned
Mar 23, 2009
Last updated
Jun 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Dr. Richard A Pucci, DONPI 1679572739
Title
Surgeon
Phone
(845) 368-1500

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 Primary

Addresses

Primary practice location

11 N Airmont Rd
Suite A10
Suffern, NY 10901-5103

Mailing address

11 N Airmont Rd
Suite A10
Suffern, NY 10901-5103
Phone (845) 368-1500

National Provider Directory

National Provider Directory

Locations

11 N Airmont Rd
Ste A10
Suffern, NY 10901
Phone (845) 368-1500

Practitioners & affiliated clinicians

Practitioners 3

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": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1497996359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N AIRMONT RD",
            "address_2": "SUITE A10",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015103",
            "telephone_number": "845-368-1500",
            "fax_number": "845-368-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N AIRMONT RD",
            "address_2": "SUITE A10",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015103",
            "telephone_number": "845-368-1500",
            "fax_number": "845-368-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LAPAROSCOPIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "PUCCI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "845-368-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.