Individual provider Active NPI

Lawrence A Seitzman, MD

  • Gynecology Physician
  • Edison, NJ
National Provider Identifier
1760583058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
19392 Issued in NJ
Practice address
799 Amboy Ave
Edison, NJ 08818
Phone
(732) 738-7600
Fax
(738) 738-0315
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 19392 NJ Primary

Addresses

Primary practice location

799 Amboy Ave
Edison, NJ 08818

Mailing address

PO Box 6974
799 Amboy Ave
Edison, NJ 08818
Phone (732) 738-7600

Other identifiers 1

IdentifierTypeStateIssuer
1986902MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20240613002251 NJ Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 5597893644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19392NJMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760583058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6974",
            "address_2": "799 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08818",
            "telephone_number": "732-738-7600",
            "fax_number": "738-738-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08818",
            "telephone_number": "732-738-7600",
            "fax_number": "738-738-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITZMAN",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "19392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.