Active NPI
Advanced Laparoscopy LLC
- Specialist
- Ridgewood, NJ
National Provider Identifier
1790910917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA06580400
- Legal business name
- ADVANCED LAPAROSCOPY LLC
- Practice address
- 61 N Maple Ave
Ridgewood, NJ 07450-3255 - Phone
- (201) 445-7070
- NPI assigned
- May 18, 2009
- Last updated
- Apr 1, 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
- Khashayar Vosough, M.D.
- Title
- Owner
- Phone
- (973) 826-8291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA06580400 | NJ | Primary |
Addresses
Primary practice location
61 N Maple Ave
Ridgewood, NJ 07450-3255
Mailing address
PO Box 4737
Wayne, NJ 07474-4737
Phone (973) 826-8291
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301616000000",
"number": "1790910917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4737",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074744737",
"telephone_number": "973-826-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 N MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503255",
"telephone_number": "201-445-7070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED LAPAROSCOPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-18",
"last_updated": "2011-04-01",
"status": "A",
"authorized_official_last_name": "VOSOUGH",
"authorized_official_first_name": "KHASHAYAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-826-8291",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA06580400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
- Sujnani Adkoli, MD
- Adl Solutions LLC
- Advanced Dermatology of New Jersey PC
- Advanced Laparoscopic Specialists
- Advanced Laparoscopic Surgical
- Advanced Psychological Specialists, LLC
- Advanced Special Home Solutions LLC
- Advanced Surgical Center of Bergen County, P.C.
- Advocare , LLC (Advocare Ridgewood Medical)
- Advocare LLC (Advocare Ridgewood Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.