Advanced Medical Laser Options LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

25MA04510100 Issued in NJ

Legal business name

ADVANCED MEDICAL LASER OPTIONS LLC

Practice address

1398 Hwy 35
Suite 6
Ocean, NJ 07712-3543

Phone

(732) 361-4961

NPI assigned

Dec 10, 2015

Last updated

Dec 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gordon Lutchman, MD

Title

Owner

Phone

(732) 361-4961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1760857148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CEDAR VILLAGE BLVD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077128716",
            "telephone_number": "732-361-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 HWY 35",
            "address_2": "SUITE 6",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123543",
            "telephone_number": "732-361-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL LASER OPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "LUTCHMAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-361-4961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA04510100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Vascular Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.