Mamsurg Thoracic Surgery LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

25M080027700 Issued in NJ

Legal business name

MAMSURG THORACIC SURGERY LLC

Practice address

4013 US Highway 9
Howell, NJ 07731-4021

Phone

(732) 886-2252

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Vince Lavaughn Moss, MD

Title

Physician/Sole Member

Phone

(732) 886-2252

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent Lavaughn Moss, MD

  • Trauma Surgery Physician
  • Somerville, NJ
  • NPI 1396799565
  NPD

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1801194659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314021",
            "telephone_number": "732-886-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077314021",
            "telephone_number": "732-886-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMSURG THORACIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "VINCE",
        "authorized_official_middle_name": "LAVAUGHN",
        "authorized_official_title_or_position": "PHYSICIAN/SOLE MEMBER",
        "authorized_official_telephone_number": "732-886-2252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25M080027700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Mylaine Q Maddatu, M.D.
• Sofia Anne Major
• Melissa Kelly Makower, MS PT
• Mamma's Best Friend LLC (Happy Family After)
• Kathleen Mammana, DPT
• Samantha Mandala
• Jenna Manfre
• Marc Mangulabnan
• Luis T Manlapid, MD
• Sofia Rae Mannarino, LSW

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Howell, NJ
• Providers in Howell, NJ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.