Active NPI
New Jersey Laproscopic Associates LLC
- Surgery Physician
- Glen Ridge, NJ
National Provider Identifier
1710269980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NEW JERSEY LAPROSCOPIC ASSOCIATES LLC
- Practice address
- 230 Sherman Ave
Glen Ridge, NJ 07028-1529 - Phone
- (973) 744-8585
- NPI assigned
- Sep 14, 2011
- 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
- RV Ballem
- Title
- Owner
- Phone
- (973) 744-8585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
230 Sherman Ave
Glen Ridge, NJ 07028-1529
Mailing address
230 Sherman Ave
Glen Ridge, NJ 07028-1529
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315958400000",
"number": "1710269980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 SHERMAN AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 SHERMAN AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281529",
"telephone_number": "973-744-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY LAPROSCOPIC ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A",
"authorized_official_last_name": "BALLEM",
"authorized_official_first_name": "RV",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-744-8585"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.