Active NPI
Aesthetic and Reconstructive Surgery, L.L.C.
- Oral & Maxillofacial Surgery (D.M.D.)
- Madison, NJ
National Provider Identifier
1679938740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DI16442
- Legal business name
- AESTHETIC AND RECONSTRUCTIVE SURGERY, L.L.C.
- Practice address
- 100 Kings Rd
Madison, NJ 07940-2670 - Phone
- (973) 966-6699
- Fax
- (973) 966-6619
- NPI assigned
- Dec 16, 2015
- Last updated
- Feb 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Mark Gorzelnik, M.D., D.M.D.
- Title
- Director
- Phone
- (973) 966-6699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DI16442 | NJ | Primary |
Addresses
Primary practice location
100 Kings Rd
Madison, NJ 07940-2670
Mailing address
100 Kings Rd
Madison, NJ 07940-2670
Phone (973) 966-6699
National Provider Directory
National Provider DirectoryLocations
100 Kings Rd
#H
Madison, NJ 07940
Phone (973) 966-6699
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Madison, NJ
- NPI 1235262064
-
- Foot Surgery Podiatrist
- Old Bridge, NJ
- NPI 1598736480
-
- Chiropractor
- Madison, NJ
- NPI 1679659148
-
- Clinical Social Worker
- Madison, NJ
- NPI 1902987944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455148800000",
"number": "1679938740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS RD",
"city": "MADISON",
"state": "NJ",
"postal_code": "079402670",
"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": "079402670",
"telephone_number": "973-966-6699",
"fax_number": "973-966-6619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AESTHETIC AND RECONSTRUCTIVE SURGERY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-16",
"last_updated": "2016-02-11",
"status": "A",
"authorized_official_last_name": "GORZELNIK",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "973-966-6699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., D.M.D."
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "NJ",
"license": "DI16442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, NJ
- Hany Abdallah, M.D.
- Adams Dental LLC
- Adams Dental LLC
- Allison Mercy Adams, D.M.D.
- Advocare, LLC (Advocare Sleep and Pulmonary Associates)
- Agg Optical Inc. (Madison Eyes)
- Always Changing Therapy and Counseling Services LLC
- Aerin Yiran An, PHARMD
- Angelic Helpers LLC (Angelic Helpers Behavioral Health Services)
- Michelle Lee Annese, DVM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.